WHO Immunization Implementation Guide
0.2.0 - ci-build

WHO Immunization Implementation Guide, published by WHO. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-immunizations/tree/main and changes regularly. See the Directory of published versions

Logical Model: IMMZ_D13_Update_client_record - Detailed Descriptions

Active as of 2025-01-10

Definitions for the IMMZD13 logical model.

Guidance on how to interpret the contents of this table can be foundhere

0. IMMZD13
Definition

Data elements for the IMMZ.D13.Update client record Data Dictionary Activity.

ShortIMMZ.D13.Update client record
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. IMMZD13.patient
Definition

The patient.

ShortPatient
Control1..1
TypeReference
4. IMMZD13.birthDose
Definition

Indicates if the client received a dose within 24 hours of birth. Whether a birth dose is counted as part of the primary series will depend on the antigen

ShortBirth dose
Control0..1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE263 (Birth dose)
InvariantsIMMZ-D-reqVType-1: Required if input in IMMZ.D.DE19 vaccine type is Hepatitis B-containing vaccines OR Poliovirus-containing vaccines. ((%resource.vaccineType.value != 'DE6' and %resource.vaccineType.value != 'DE14') or $this.exists())
6. IMMZD13.typeOfDose
Definition

The type of dose in a series that the client received

ShortType of dose
Control1..1
BindingThe codes SHALL be taken from IMMZ.D.DE258 ValueSet for Type of dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE258)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE258 (Type of dose)
8. IMMZD13.completedThePrimaryVaccinationSeries
Definition

Indicates if the client has completed the primary vaccination series of a product/antigen. If the client has not yet completed their primary series, it means they may be expected to receive more doses to complete their vaccination regimen for the respective product/antigen

ShortCompleted the primary vaccination series
Control0..1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE203 (Completed the primary vaccination series)
10. IMMZD13.completedTheBoosterSeries
Definition

Indicates if the client has completed the booster series of a product/antigen

ShortCompleted the booster series
Control0..1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE257 (Completed the booster series)
12. IMMZD13.dateWhenPrimaryVaccinationSeriesWasCompleted
Definition

The date when the client completed the primary vaccination series (per product/antigen)

ShortDate when primary vaccination series was completed
Control0..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE242 (Date when primary vaccination series was completed)
InvariantsIMMZ-D-reqPrimaryCompleted-1: Required if input in IMMZ.D.DE203 Completed the primary vaccination series is Yes (%resource.completedTheBoosterSeries.value = false or $this.exists())
IMMZ-D-dateOccurred-1: Date ≤ current date (not($this.exists()) or $this.value <= today())
14. IMMZD13.hivStatus
Definition

The current HIV status of the client

ShortHIV status
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE204 ValueSet for HIV status
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE204)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE204 (HIV status), LOINC: 55277-8 (HIV Status), SNOMED CT: 278977008 (HIV status)
16. IMMZD13.typeOfPoliovirusDose
Definition

The type of the poliovirus vaccine dose administered to the client

ShortType of poliovirus dose
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE212 ValueSet for Type of poliovirus dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE212)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE212 (Type of poliovirus dose), International Classification of Diseases, 11th Revision Mortality and Morbidity Statistics (MMS): XM0N50 (Poliomyelitis vaccines)
InvariantsIMMZ-D-reqVType-4: Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines OR Hepatitis B-containing vaccines ((%resource.vaccineType.value != 'DE1' and %resource.vaccineType.value != 'DE6') or $this.exists())
18. IMMZD13.typeOfJeDose
Definition

The type of Japanese encephalitis (JE) vaccine dose administered to the client

ShortType of JE dose
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE216 ValueSet for Type of JE dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE216)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE216 (Type of JE dose)
InvariantsIMMZ-D-reqVType-8: Required if input in IMMZ.D.DE19 vaccine type is JE vaccines (%resource.vaccineType.value != 'DE8' or $this.exists())
20. IMMZD13.typeOfTbeDose
Definition

The type of tick-borne encephalitis (TBE) vaccine dose administered

ShortType of TBE dose
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE220 ValueSet for Type of TBE dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE220)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE220 (Type of TBE dose)
InvariantsIMMZ-D-reqVType-9: Required if input in IMMZ.D.DE19 vaccine type is TBE vaccines (%resource.vaccineType.value != 'DE20' or $this.exists())
22. IMMZD13.typeOfTyphoidDose
Definition

The type of typhoid vaccine dose administered to the client

ShortType of typhoid dose
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE225 ValueSet for Type of typhoid dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE225)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE225 (Type of typhoid dose)
InvariantsIMMZ-D-reqVType-10: Required if input in IMMZ.D.DE19 vaccine type is Typhoid vaccines (%resource.vaccineType.value != 'DE21' or $this.exists())
24. IMMZD13.typeOfCholeraDose
Definition

The type of cholera vaccine dose administered to the client

ShortType of cholera dose
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE229 ValueSet for Type of cholera dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE229)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE229 (Type of cholera dose)
InvariantsIMMZ-D-reqVType-11: Required if input in IMMZ.D.DE19 vaccine type is Cholera vaccines (%resource.vaccineType.value != 'DE2' or $this.exists())
26. IMMZD13.typeOfMeningococcalDose
Definition

The type of meningococcal vaccine dose administered to the client

ShortType of meningococcal dose
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE232 ValueSet for Type of meningococcal dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE232)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE232 (Type of meningococcal dose)
InvariantsIMMZ-D-reqVType-12: Required if input in IMMZ.D.DE19 vaccine type is Meningococcal vaccines (%resource.vaccineType.value != 'DE10' or $this.exists())
28. IMMZD13.typeOfHepatitisADose
Definition

The type of hepatitis A-containing vaccine dose administered to the client

ShortType of hepatitis A dose
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE237 ValueSet for Type of hepatitis A dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE237)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE237 (Type of hepatitis A dose)
InvariantsIMMZ-D-reqVType-13: Required if input in IMMZ.D.DE19 vaccine type is Hepatitis A-containing vaccines (%resource.vaccineType.value != 'DE5' or $this.exists())
30. IMMZD13.typeOfHepatitisBDose
Definition

The type of hepatitis B-containing vaccine dose administered to the client

ShortType of hepatitis B dose
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE254 ValueSet for Type of hepatitis B dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE254)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE254 (Type of hepatitis B dose)
InvariantsIMMZ-D-reqVType-14: Required if input in IMMZ.D.DE6 vaccine type is Hepatitis B-containing vaccines (%resource.vaccineType.value != 'DE6' or $this.exists())
32. IMMZD13.vaccineType
Definition

Vaccine type/category that was administered or was to be administered. Any vaccine code available in the IMMZ.Z Vaccine library list of codes applies in this data element

ShortVaccine type
Control1..*
BindingThe codes SHALL be taken from IMMZ.Z.VS ValueSet for vaccine types
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.Z.VS)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE19 (Vaccine type), LOINC: 39236-5 (Vaccine code (CPT [Current Procedural Terminology]) CPHS (Children's Preventative Health System)), SNOMED CT: 787859002 (Vaccine product (medicinal product))
34. IMMZD13.dateAndTimeOfVaccination
Definition

Represents the visit/encounter date, which is the date and time when each vaccine was administered to the client

ShortDate and time of vaccination
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE20 (Date and time of vaccination), LOINC: 30952-6 (Date and time of vaccination)
36. IMMZD13.contactDate
Definition

The date and time of the client's contact

ShortContact date
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE201 (Contact date), LOINC: 21975-8 (Date last contact), SNOMED CT: 406543005 (Date of visit)
InvariantsIMMZ-D-dateTimeOccurred-1: DateTime ≤ current DateTime (not($this.exists()) or $this.value <= now())
38. IMMZD13.ancContactNumber
Definition

The antenatal care (ANC) contact or visit number

ShortANC contact number
Control0..1
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE202 (ANC contact number), LOINC: 75612-2 (Number of visits to this health-care entity in the last 12 months), SNOMED CT: 3401000175105 (Total number of prenatal care visits)
40. IMMZD13.doseNumber
Definition

Vaccine dose number including dose number within series

ShortDose number
Control1..1
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE124 (Dose number)
InvariantsIMMZ-D-reqGTEZero-1: Must be positive decimal value greater than or equal to zero (≥0) (not($this.exists()) or $this.value >= 0)
42. IMMZD13.immunizationEventStatus
Definition

The current status of the individual immunization event

ShortImmunization event status
Control1..1
BindingThe codes SHALL be taken from IMMZ.D.DE1 ValueSet for Immunization event status
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE1)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE1 (Immunization event status)
44. IMMZD13.reasonVaccineWasNotAdministered
Definition

The reason this immunization event was not performed

ShortReason vaccine was not administered
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE5 ValueSet for Reason vaccine was not administered
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE5)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE5 (Reason vaccine was not administered), International Classification of Diseases, 11th Revision Mortality and Morbidity Statistics (MMS): QC04 (Immunization not carried out)
InvariantsIMMZ-D-statusNotDone-1: Required if input in IMMZ.D.DE1 Immunization event status is Not Done (%resource.immunizationEventStatus.value = 'DE4' or $this.exists())
46. IMMZD13.vaccineBrand
Definition

The brand or trade name used to refer to the vaccine received

ShortVaccine brand
Control1..1
BindingFor example codes, see IMMZ.D.DE18 ValueSet for Vaccine brand
(example to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE18)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE18 (Vaccine brand)
48. IMMZD13.liveVaccine
Definition

Uses a living but weakened version of the virus or one that is very similar

ShortLive vaccine
Control0..1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE173 (Live vaccine)
50. IMMZD13.countryOfVaccination
Definition

The service delivery country where the vaccine administration occurred

ShortCountry of vaccination
Control1..1
BindingThe codes SHALL be taken from Iso3166-1-3
(required to http://hl7.org/fhir/ValueSet/iso3166-1-3)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE21 (Country of vaccination)
52. IMMZD13.administrativeArea
Definition

The service delivery location (location name, city, municipality, town or village) where the vaccine administration occurred

ShortAdministrative area
Control0..1
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE22 (Administrative area), LOINC: 72060-7 (Where was vaccine received)
54. IMMZD13.vaccineManufacturer
Definition

The manufacturer of the vaccine product

ShortVaccine manufacturer
Control1..1
BindingFor example codes, see IMMZ.D.DE23 ValueSet for Vaccine manufacturer
(example to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE23)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE23 (Vaccine manufacturer), LOINC: 30957-5 (Manufacturer name [Identifier] Vaccine)
56. IMMZD13.vaccineBatchNumber
Definition

Batch number or lot number of vaccine

ShortVaccine batch number
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE24 (Vaccine batch number), LOINC: 30959-1 (Lot number [Identifier] Vaccine)
58. IMMZD13.vaccineMarketAuthorizationHolder
Definition

Name of the market authorization holder of the vaccine received. If market authorization holder is unknown, vaccine manufacturer is REQUIRED

ShortVaccine market authorization holder
Control1..1
BindingFor example codes, see IMMZ.D.DE25 ValueSet for Vaccine market authorization holder
(example to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE25)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE25 (Vaccine market authorization holder)
60. IMMZD13.expirationDate
Definition

The expiration date of the vaccine

ShortExpiration date
Control0..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE26 (Expiration date), LOINC: 74066-2 (Expiration date of medication (Agency for Healthcare Research and Quality [AHRQ]))
62. IMMZD13.doseQuantity
Definition

The quantity of vaccine product that was administered

ShortDose quantity
Control0..1
TypeQuantity
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE34 (Dose quantity), LOINC: 82745-1 (Doses of vaccine given per symptom onset)
InvariantsIMMZ-D-reqGTZero-1: Must be positive decimal value greater than zero (>0.00) (not($this.exists()) or $this.value > 0)
64. IMMZD13.healthWorkerIdentifier
Definition

The person, organization or role of the entity that performed the act of giving the vaccine to the client. The implementing system can choose to populate this field using data from a health worker registry or health-care facility registry

ShortHealth worker identifier
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE35 (Health worker identifier)
66. IMMZD13.totalDosesInSeries
Definition

The recommended number of doses for immunity according to the national immunization schedule (which may be based on product, age, etc.)

ShortTotal doses in series
Control0..1
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE125 (Total doses in series)
InvariantsIMMZ-D-reqGTZero-1: Must be positive decimal value greater than zero (>0.00) (not($this.exists()) or $this.value > 0)
68. IMMZD13.diseaseTargeted
Definition

Vaccine-preventable disease being targeted

ShortDisease targeted
Control0..*
BindingThe codes SHALL be taken from IMMZ.D.DE126 ValueSet for Disease targeted
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE126)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE126 (Disease targeted)
70. IMMZD13.dueDateOfNextDose
Definition

Date on which the next vaccination should be administered, if a next dose is required

ShortDue date of next dose
Control0..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE149 (Due date of next dose)

Guidance on how to interpret the contents of this table can be foundhere

0. IMMZD13
Definition

Data elements for the IMMZ.D13.Update client record Data Dictionary Activity.

ShortIMMZ.D13.Update client record
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. IMMZD13.patient
Definition

The patient.

ShortPatient
Control1..1
TypeReference
4. IMMZD13.birthDose
Definition

Indicates if the client received a dose within 24 hours of birth. Whether a birth dose is counted as part of the primary series will depend on the antigen

ShortBirth dose
Control0..1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE263 (Birth dose)
InvariantsIMMZ-D-reqVType-1: Required if input in IMMZ.D.DE19 vaccine type is Hepatitis B-containing vaccines OR Poliovirus-containing vaccines. ((%resource.vaccineType.value != 'DE6' and %resource.vaccineType.value != 'DE14') or $this.exists())
6. IMMZD13.typeOfDose
Definition

The type of dose in a series that the client received

ShortType of dose
Control1..1
BindingThe codes SHALL be taken from IMMZ.D.DE258 ValueSet for Type of dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE258)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE258 (Type of dose)
8. IMMZD13.completedThePrimaryVaccinationSeries
Definition

Indicates if the client has completed the primary vaccination series of a product/antigen. If the client has not yet completed their primary series, it means they may be expected to receive more doses to complete their vaccination regimen for the respective product/antigen

ShortCompleted the primary vaccination series
Control0..1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE203 (Completed the primary vaccination series)
10. IMMZD13.completedTheBoosterSeries
Definition

Indicates if the client has completed the booster series of a product/antigen

ShortCompleted the booster series
Control0..1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE257 (Completed the booster series)
12. IMMZD13.dateWhenPrimaryVaccinationSeriesWasCompleted
Definition

The date when the client completed the primary vaccination series (per product/antigen)

ShortDate when primary vaccination series was completed
Control0..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE242 (Date when primary vaccination series was completed)
InvariantsIMMZ-D-reqPrimaryCompleted-1: Required if input in IMMZ.D.DE203 Completed the primary vaccination series is Yes (%resource.completedTheBoosterSeries.value = false or $this.exists())
IMMZ-D-dateOccurred-1: Date ≤ current date (not($this.exists()) or $this.value <= today())
14. IMMZD13.hivStatus
Definition

The current HIV status of the client

ShortHIV status
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE204 ValueSet for HIV status
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE204)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE204 (HIV status), LOINC: 55277-8 (HIV Status), SNOMED CT: 278977008 (HIV status)
16. IMMZD13.typeOfPoliovirusDose
Definition

The type of the poliovirus vaccine dose administered to the client

ShortType of poliovirus dose
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE212 ValueSet for Type of poliovirus dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE212)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE212 (Type of poliovirus dose), International Classification of Diseases, 11th Revision Mortality and Morbidity Statistics (MMS): XM0N50 (Poliomyelitis vaccines)
InvariantsIMMZ-D-reqVType-4: Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines OR Hepatitis B-containing vaccines ((%resource.vaccineType.value != 'DE1' and %resource.vaccineType.value != 'DE6') or $this.exists())
18. IMMZD13.typeOfJeDose
Definition

The type of Japanese encephalitis (JE) vaccine dose administered to the client

ShortType of JE dose
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE216 ValueSet for Type of JE dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE216)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE216 (Type of JE dose)
InvariantsIMMZ-D-reqVType-8: Required if input in IMMZ.D.DE19 vaccine type is JE vaccines (%resource.vaccineType.value != 'DE8' or $this.exists())
20. IMMZD13.typeOfTbeDose
Definition

The type of tick-borne encephalitis (TBE) vaccine dose administered

ShortType of TBE dose
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE220 ValueSet for Type of TBE dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE220)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE220 (Type of TBE dose)
InvariantsIMMZ-D-reqVType-9: Required if input in IMMZ.D.DE19 vaccine type is TBE vaccines (%resource.vaccineType.value != 'DE20' or $this.exists())
22. IMMZD13.typeOfTyphoidDose
Definition

The type of typhoid vaccine dose administered to the client

ShortType of typhoid dose
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE225 ValueSet for Type of typhoid dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE225)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE225 (Type of typhoid dose)
InvariantsIMMZ-D-reqVType-10: Required if input in IMMZ.D.DE19 vaccine type is Typhoid vaccines (%resource.vaccineType.value != 'DE21' or $this.exists())
24. IMMZD13.typeOfCholeraDose
Definition

The type of cholera vaccine dose administered to the client

ShortType of cholera dose
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE229 ValueSet for Type of cholera dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE229)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE229 (Type of cholera dose)
InvariantsIMMZ-D-reqVType-11: Required if input in IMMZ.D.DE19 vaccine type is Cholera vaccines (%resource.vaccineType.value != 'DE2' or $this.exists())
26. IMMZD13.typeOfMeningococcalDose
Definition

The type of meningococcal vaccine dose administered to the client

ShortType of meningococcal dose
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE232 ValueSet for Type of meningococcal dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE232)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE232 (Type of meningococcal dose)
InvariantsIMMZ-D-reqVType-12: Required if input in IMMZ.D.DE19 vaccine type is Meningococcal vaccines (%resource.vaccineType.value != 'DE10' or $this.exists())
28. IMMZD13.typeOfHepatitisADose
Definition

The type of hepatitis A-containing vaccine dose administered to the client

ShortType of hepatitis A dose
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE237 ValueSet for Type of hepatitis A dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE237)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE237 (Type of hepatitis A dose)
InvariantsIMMZ-D-reqVType-13: Required if input in IMMZ.D.DE19 vaccine type is Hepatitis A-containing vaccines (%resource.vaccineType.value != 'DE5' or $this.exists())
30. IMMZD13.typeOfHepatitisBDose
Definition

The type of hepatitis B-containing vaccine dose administered to the client

ShortType of hepatitis B dose
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE254 ValueSet for Type of hepatitis B dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE254)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE254 (Type of hepatitis B dose)
InvariantsIMMZ-D-reqVType-14: Required if input in IMMZ.D.DE6 vaccine type is Hepatitis B-containing vaccines (%resource.vaccineType.value != 'DE6' or $this.exists())
32. IMMZD13.vaccineType
Definition

Vaccine type/category that was administered or was to be administered. Any vaccine code available in the IMMZ.Z Vaccine library list of codes applies in this data element

ShortVaccine type
Control1..*
BindingThe codes SHALL be taken from IMMZ.Z.VS ValueSet for vaccine types
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.Z.VS)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE19 (Vaccine type), LOINC: 39236-5 (Vaccine code (CPT [Current Procedural Terminology]) CPHS (Children's Preventative Health System)), SNOMED CT: 787859002 (Vaccine product (medicinal product))
34. IMMZD13.dateAndTimeOfVaccination
Definition

Represents the visit/encounter date, which is the date and time when each vaccine was administered to the client

ShortDate and time of vaccination
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE20 (Date and time of vaccination), LOINC: 30952-6 (Date and time of vaccination)
36. IMMZD13.contactDate
Definition

The date and time of the client's contact

ShortContact date
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE201 (Contact date), LOINC: 21975-8 (Date last contact), SNOMED CT: 406543005 (Date of visit)
InvariantsIMMZ-D-dateTimeOccurred-1: DateTime ≤ current DateTime (not($this.exists()) or $this.value <= now())
38. IMMZD13.ancContactNumber
Definition

The antenatal care (ANC) contact or visit number

ShortANC contact number
Control0..1
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE202 (ANC contact number), LOINC: 75612-2 (Number of visits to this health-care entity in the last 12 months), SNOMED CT: 3401000175105 (Total number of prenatal care visits)
40. IMMZD13.doseNumber
Definition

Vaccine dose number including dose number within series

ShortDose number
Control1..1
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE124 (Dose number)
InvariantsIMMZ-D-reqGTEZero-1: Must be positive decimal value greater than or equal to zero (≥0) (not($this.exists()) or $this.value >= 0)
42. IMMZD13.immunizationEventStatus
Definition

The current status of the individual immunization event

ShortImmunization event status
Control1..1
BindingThe codes SHALL be taken from IMMZ.D.DE1 ValueSet for Immunization event status
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE1)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE1 (Immunization event status)
44. IMMZD13.reasonVaccineWasNotAdministered
Definition

The reason this immunization event was not performed

ShortReason vaccine was not administered
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE5 ValueSet for Reason vaccine was not administered
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE5)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE5 (Reason vaccine was not administered), International Classification of Diseases, 11th Revision Mortality and Morbidity Statistics (MMS): QC04 (Immunization not carried out)
InvariantsIMMZ-D-statusNotDone-1: Required if input in IMMZ.D.DE1 Immunization event status is Not Done (%resource.immunizationEventStatus.value = 'DE4' or $this.exists())
46. IMMZD13.vaccineBrand
Definition

The brand or trade name used to refer to the vaccine received

ShortVaccine brand
Control1..1
BindingFor example codes, see IMMZ.D.DE18 ValueSet for Vaccine brand
(example to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE18)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE18 (Vaccine brand)
48. IMMZD13.liveVaccine
Definition

Uses a living but weakened version of the virus or one that is very similar

ShortLive vaccine
Control0..1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE173 (Live vaccine)
50. IMMZD13.countryOfVaccination
Definition

The service delivery country where the vaccine administration occurred

ShortCountry of vaccination
Control1..1
BindingThe codes SHALL be taken from Iso3166-1-3
(required to http://hl7.org/fhir/ValueSet/iso3166-1-3)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE21 (Country of vaccination)
52. IMMZD13.administrativeArea
Definition

The service delivery location (location name, city, municipality, town or village) where the vaccine administration occurred

ShortAdministrative area
Control0..1
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE22 (Administrative area), LOINC: 72060-7 (Where was vaccine received)
54. IMMZD13.vaccineManufacturer
Definition

The manufacturer of the vaccine product

ShortVaccine manufacturer
Control1..1
BindingFor example codes, see IMMZ.D.DE23 ValueSet for Vaccine manufacturer
(example to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE23)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE23 (Vaccine manufacturer), LOINC: 30957-5 (Manufacturer name [Identifier] Vaccine)
56. IMMZD13.vaccineBatchNumber
Definition

Batch number or lot number of vaccine

ShortVaccine batch number
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE24 (Vaccine batch number), LOINC: 30959-1 (Lot number [Identifier] Vaccine)
58. IMMZD13.vaccineMarketAuthorizationHolder
Definition

Name of the market authorization holder of the vaccine received. If market authorization holder is unknown, vaccine manufacturer is REQUIRED

ShortVaccine market authorization holder
Control1..1
BindingFor example codes, see IMMZ.D.DE25 ValueSet for Vaccine market authorization holder
(example to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE25)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE25 (Vaccine market authorization holder)
60. IMMZD13.expirationDate
Definition

The expiration date of the vaccine

ShortExpiration date
Control0..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE26 (Expiration date), LOINC: 74066-2 (Expiration date of medication (Agency for Healthcare Research and Quality [AHRQ]))
62. IMMZD13.doseQuantity
Definition

The quantity of vaccine product that was administered

ShortDose quantity
Control0..1
TypeQuantity
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE34 (Dose quantity), LOINC: 82745-1 (Doses of vaccine given per symptom onset)
InvariantsIMMZ-D-reqGTZero-1: Must be positive decimal value greater than zero (>0.00) (not($this.exists()) or $this.value > 0)
64. IMMZD13.healthWorkerIdentifier
Definition

The person, organization or role of the entity that performed the act of giving the vaccine to the client. The implementing system can choose to populate this field using data from a health worker registry or health-care facility registry

ShortHealth worker identifier
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE35 (Health worker identifier)
66. IMMZD13.totalDosesInSeries
Definition

The recommended number of doses for immunity according to the national immunization schedule (which may be based on product, age, etc.)

ShortTotal doses in series
Control0..1
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE125 (Total doses in series)
InvariantsIMMZ-D-reqGTZero-1: Must be positive decimal value greater than zero (>0.00) (not($this.exists()) or $this.value > 0)
68. IMMZD13.diseaseTargeted
Definition

Vaccine-preventable disease being targeted

ShortDisease targeted
Control0..*
BindingThe codes SHALL be taken from IMMZ.D.DE126 ValueSet for Disease targeted
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE126)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE126 (Disease targeted)
70. IMMZD13.dueDateOfNextDose
Definition

Date on which the next vaccination should be administered, if a next dose is required

ShortDue date of next dose
Control0..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE149 (Due date of next dose)

Guidance on how to interpret the contents of this table can be foundhere

0. IMMZD13
Definition

Data elements for the IMMZ.D13.Update client record Data Dictionary Activity.

ShortIMMZ.D13.Update client record
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. IMMZD13.patient
Definition

The patient.

ShortPatient
Control1..1
TypeReference
4. IMMZD13.birthDose
Definition

Indicates if the client received a dose within 24 hours of birth. Whether a birth dose is counted as part of the primary series will depend on the antigen

ShortBirth dose
Control0..1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE263 (Birth dose)
InvariantsIMMZ-D-reqVType-1: Required if input in IMMZ.D.DE19 vaccine type is Hepatitis B-containing vaccines OR Poliovirus-containing vaccines. ((%resource.vaccineType.value != 'DE6' and %resource.vaccineType.value != 'DE14') or $this.exists())
6. IMMZD13.typeOfDose
Definition

The type of dose in a series that the client received

ShortType of dose
Control1..1
BindingThe codes SHALL be taken from IMMZ.D.DE258 ValueSet for Type of dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE258)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE258 (Type of dose)
8. IMMZD13.completedThePrimaryVaccinationSeries
Definition

Indicates if the client has completed the primary vaccination series of a product/antigen. If the client has not yet completed their primary series, it means they may be expected to receive more doses to complete their vaccination regimen for the respective product/antigen

ShortCompleted the primary vaccination series
Control0..1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE203 (Completed the primary vaccination series)
10. IMMZD13.completedTheBoosterSeries
Definition

Indicates if the client has completed the booster series of a product/antigen

ShortCompleted the booster series
Control0..1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE257 (Completed the booster series)
12. IMMZD13.dateWhenPrimaryVaccinationSeriesWasCompleted
Definition

The date when the client completed the primary vaccination series (per product/antigen)

ShortDate when primary vaccination series was completed
Control0..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE242 (Date when primary vaccination series was completed)
InvariantsIMMZ-D-reqPrimaryCompleted-1: Required if input in IMMZ.D.DE203 Completed the primary vaccination series is Yes (%resource.completedTheBoosterSeries.value = false or $this.exists())
IMMZ-D-dateOccurred-1: Date ≤ current date (not($this.exists()) or $this.value <= today())
14. IMMZD13.hivStatus
Definition

The current HIV status of the client

ShortHIV status
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE204 ValueSet for HIV status
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE204)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE204 (HIV status), LOINC: 55277-8 (HIV Status), SNOMED CT: 278977008 (HIV status)
16. IMMZD13.typeOfPoliovirusDose
Definition

The type of the poliovirus vaccine dose administered to the client

ShortType of poliovirus dose
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE212 ValueSet for Type of poliovirus dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE212)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE212 (Type of poliovirus dose), International Classification of Diseases, 11th Revision Mortality and Morbidity Statistics (MMS): XM0N50 (Poliomyelitis vaccines)
InvariantsIMMZ-D-reqVType-4: Required if input in IMMZ.D.DE19 vaccine type is BCG vaccines OR Hepatitis B-containing vaccines ((%resource.vaccineType.value != 'DE1' and %resource.vaccineType.value != 'DE6') or $this.exists())
18. IMMZD13.typeOfJeDose
Definition

The type of Japanese encephalitis (JE) vaccine dose administered to the client

ShortType of JE dose
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE216 ValueSet for Type of JE dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE216)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE216 (Type of JE dose)
InvariantsIMMZ-D-reqVType-8: Required if input in IMMZ.D.DE19 vaccine type is JE vaccines (%resource.vaccineType.value != 'DE8' or $this.exists())
20. IMMZD13.typeOfTbeDose
Definition

The type of tick-borne encephalitis (TBE) vaccine dose administered

ShortType of TBE dose
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE220 ValueSet for Type of TBE dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE220)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE220 (Type of TBE dose)
InvariantsIMMZ-D-reqVType-9: Required if input in IMMZ.D.DE19 vaccine type is TBE vaccines (%resource.vaccineType.value != 'DE20' or $this.exists())
22. IMMZD13.typeOfTyphoidDose
Definition

The type of typhoid vaccine dose administered to the client

ShortType of typhoid dose
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE225 ValueSet for Type of typhoid dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE225)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE225 (Type of typhoid dose)
InvariantsIMMZ-D-reqVType-10: Required if input in IMMZ.D.DE19 vaccine type is Typhoid vaccines (%resource.vaccineType.value != 'DE21' or $this.exists())
24. IMMZD13.typeOfCholeraDose
Definition

The type of cholera vaccine dose administered to the client

ShortType of cholera dose
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE229 ValueSet for Type of cholera dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE229)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE229 (Type of cholera dose)
InvariantsIMMZ-D-reqVType-11: Required if input in IMMZ.D.DE19 vaccine type is Cholera vaccines (%resource.vaccineType.value != 'DE2' or $this.exists())
26. IMMZD13.typeOfMeningococcalDose
Definition

The type of meningococcal vaccine dose administered to the client

ShortType of meningococcal dose
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE232 ValueSet for Type of meningococcal dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE232)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE232 (Type of meningococcal dose)
InvariantsIMMZ-D-reqVType-12: Required if input in IMMZ.D.DE19 vaccine type is Meningococcal vaccines (%resource.vaccineType.value != 'DE10' or $this.exists())
28. IMMZD13.typeOfHepatitisADose
Definition

The type of hepatitis A-containing vaccine dose administered to the client

ShortType of hepatitis A dose
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE237 ValueSet for Type of hepatitis A dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE237)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE237 (Type of hepatitis A dose)
InvariantsIMMZ-D-reqVType-13: Required if input in IMMZ.D.DE19 vaccine type is Hepatitis A-containing vaccines (%resource.vaccineType.value != 'DE5' or $this.exists())
30. IMMZD13.typeOfHepatitisBDose
Definition

The type of hepatitis B-containing vaccine dose administered to the client

ShortType of hepatitis B dose
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE254 ValueSet for Type of hepatitis B dose
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE254)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE254 (Type of hepatitis B dose)
InvariantsIMMZ-D-reqVType-14: Required if input in IMMZ.D.DE6 vaccine type is Hepatitis B-containing vaccines (%resource.vaccineType.value != 'DE6' or $this.exists())
32. IMMZD13.vaccineType
Definition

Vaccine type/category that was administered or was to be administered. Any vaccine code available in the IMMZ.Z Vaccine library list of codes applies in this data element

ShortVaccine type
Control1..*
BindingThe codes SHALL be taken from IMMZ.Z.VS ValueSet for vaccine types
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.Z.VS)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE19 (Vaccine type), LOINC: 39236-5 (Vaccine code (CPT [Current Procedural Terminology]) CPHS (Children's Preventative Health System)), SNOMED CT: 787859002 (Vaccine product (medicinal product))
34. IMMZD13.dateAndTimeOfVaccination
Definition

Represents the visit/encounter date, which is the date and time when each vaccine was administered to the client

ShortDate and time of vaccination
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE20 (Date and time of vaccination), LOINC: 30952-6 (Date and time of vaccination)
36. IMMZD13.contactDate
Definition

The date and time of the client's contact

ShortContact date
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE201 (Contact date), LOINC: 21975-8 (Date last contact), SNOMED CT: 406543005 (Date of visit)
InvariantsIMMZ-D-dateTimeOccurred-1: DateTime ≤ current DateTime (not($this.exists()) or $this.value <= now())
38. IMMZD13.ancContactNumber
Definition

The antenatal care (ANC) contact or visit number

ShortANC contact number
Control0..1
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE202 (ANC contact number), LOINC: 75612-2 (Number of visits to this health-care entity in the last 12 months), SNOMED CT: 3401000175105 (Total number of prenatal care visits)
40. IMMZD13.doseNumber
Definition

Vaccine dose number including dose number within series

ShortDose number
Control1..1
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE124 (Dose number)
InvariantsIMMZ-D-reqGTEZero-1: Must be positive decimal value greater than or equal to zero (≥0) (not($this.exists()) or $this.value >= 0)
42. IMMZD13.immunizationEventStatus
Definition

The current status of the individual immunization event

ShortImmunization event status
Control1..1
BindingThe codes SHALL be taken from IMMZ.D.DE1 ValueSet for Immunization event status
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE1)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE1 (Immunization event status)
44. IMMZD13.reasonVaccineWasNotAdministered
Definition

The reason this immunization event was not performed

ShortReason vaccine was not administered
Control0..1
BindingThe codes SHALL be taken from IMMZ.D.DE5 ValueSet for Reason vaccine was not administered
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE5)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE5 (Reason vaccine was not administered), International Classification of Diseases, 11th Revision Mortality and Morbidity Statistics (MMS): QC04 (Immunization not carried out)
InvariantsIMMZ-D-statusNotDone-1: Required if input in IMMZ.D.DE1 Immunization event status is Not Done (%resource.immunizationEventStatus.value = 'DE4' or $this.exists())
46. IMMZD13.vaccineBrand
Definition

The brand or trade name used to refer to the vaccine received

ShortVaccine brand
Control1..1
BindingFor example codes, see IMMZ.D.DE18 ValueSet for Vaccine brand
(example to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE18)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE18 (Vaccine brand)
48. IMMZD13.liveVaccine
Definition

Uses a living but weakened version of the virus or one that is very similar

ShortLive vaccine
Control0..1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE173 (Live vaccine)
50. IMMZD13.countryOfVaccination
Definition

The service delivery country where the vaccine administration occurred

ShortCountry of vaccination
Control1..1
BindingThe codes SHALL be taken from Iso3166-1-3
(required to http://hl7.org/fhir/ValueSet/iso3166-1-3)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE21 (Country of vaccination)
52. IMMZD13.administrativeArea
Definition

The service delivery location (location name, city, municipality, town or village) where the vaccine administration occurred

ShortAdministrative area
Control0..1
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE22 (Administrative area), LOINC: 72060-7 (Where was vaccine received)
54. IMMZD13.vaccineManufacturer
Definition

The manufacturer of the vaccine product

ShortVaccine manufacturer
Control1..1
BindingFor example codes, see IMMZ.D.DE23 ValueSet for Vaccine manufacturer
(example to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE23)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE23 (Vaccine manufacturer), LOINC: 30957-5 (Manufacturer name [Identifier] Vaccine)
56. IMMZD13.vaccineBatchNumber
Definition

Batch number or lot number of vaccine

ShortVaccine batch number
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE24 (Vaccine batch number), LOINC: 30959-1 (Lot number [Identifier] Vaccine)
58. IMMZD13.vaccineMarketAuthorizationHolder
Definition

Name of the market authorization holder of the vaccine received. If market authorization holder is unknown, vaccine manufacturer is REQUIRED

ShortVaccine market authorization holder
Control1..1
BindingFor example codes, see IMMZ.D.DE25 ValueSet for Vaccine market authorization holder
(example to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE25)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE25 (Vaccine market authorization holder)
60. IMMZD13.expirationDate
Definition

The expiration date of the vaccine

ShortExpiration date
Control0..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE26 (Expiration date), LOINC: 74066-2 (Expiration date of medication (Agency for Healthcare Research and Quality [AHRQ]))
62. IMMZD13.doseQuantity
Definition

The quantity of vaccine product that was administered

ShortDose quantity
Control0..1
TypeQuantity
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE34 (Dose quantity), LOINC: 82745-1 (Doses of vaccine given per symptom onset)
InvariantsIMMZ-D-reqGTZero-1: Must be positive decimal value greater than zero (>0.00) (not($this.exists()) or $this.value > 0)
64. IMMZD13.healthWorkerIdentifier
Definition

The person, organization or role of the entity that performed the act of giving the vaccine to the client. The implementing system can choose to populate this field using data from a health worker registry or health-care facility registry

ShortHealth worker identifier
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE35 (Health worker identifier)
66. IMMZD13.totalDosesInSeries
Definition

The recommended number of doses for immunity according to the national immunization schedule (which may be based on product, age, etc.)

ShortTotal doses in series
Control0..1
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE125 (Total doses in series)
InvariantsIMMZ-D-reqGTZero-1: Must be positive decimal value greater than zero (>0.00) (not($this.exists()) or $this.value > 0)
68. IMMZD13.diseaseTargeted
Definition

Vaccine-preventable disease being targeted

ShortDisease targeted
Control0..*
BindingThe codes SHALL be taken from IMMZ.D.DE126 ValueSet for Disease targeted
(required to http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE126)
TypeCoding
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE126 (Disease targeted)
70. IMMZD13.dueDateOfNextDose
Definition

Date on which the next vaccination should be administered, if a next dose is required

ShortDue date of next dose
Control0..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Definitional CodesIMMZ.D CodeSystem for Data Elements: DE149 (Due date of next dose)