xCaliber healthCare Data Mesh

Immunization

Immunization

Source Object: Immunization

The Immunization source object represents information related to vaccines and immunizations administered to a patient. Immunizations are crucial for preventing and controlling various diseases, and this source object helps in maintaining a comprehensive record of a patient's vaccination history.

Overview

The Immunization source object is an essential part of a patient's electronic health record (EHR) and serves to capture critical data related to vaccines and immunizations. It includes various details such as the type of vaccine administered, dosage, date of administration, the administering physician, and more.

Usage

The Immunization source object has several important use cases:

  1. Vaccine Record Keeping: It is used to maintain a complete record of all vaccines and immunizations received by a patient throughout their life.
  2. Patient Safety: Ensures that healthcare providers have accurate and up-to-date information on a patient's vaccination history to avoid unnecessary repeat vaccinations and ensure patient safety.
  3. Preventive Care: Supports the tracking of preventive care measures, which is vital for managing public health and preventing outbreaks of vaccine-preventable diseases.
  4. Dosage and Expiration: Includes data on the dosage of the vaccine administered, lot number, expiration date, and manufacturer information for quality control and traceability.
  5. Vaccine Types: Captures details about the specific type of vaccine administered, including its name, CDC code, and vaccine funding source.
  6. Patient Consent: Provides information on whether the patient consented to receive the vaccine and, if applicable, records any relevant notes or reasons.
  7. Public Health Reporting: The collected data can be used for public health reporting and surveillance to track vaccination rates, identify vaccine coverage gaps, and assess the effectiveness of immunization programs.
  8. VFC Eligibility: Determines a patient's eligibility for the Vaccines for Children (VFC) program, which provides vaccines to eligible children at no cost.

The Immunization source object plays a critical role in public health management, preventive care, and patient safety by maintaining a comprehensive record of a patient's immunization history, ensuring that individuals receive the necessary vaccines, and contributing to the overall well-being of the community.

Mapping Table

Data FieldSource Field Data TypeResource Mapping ContextSource Data Field CardinalitySource Data Field DescriptionExample ValueSource Data Field Validation RuleMapped FHIR ResourceMapped FHIR Data FieldAugmented MappingAssociated Coding SystemAssociated FHIR Data Field ExtensionMapped FHIR Data Field Type
idIntegerTop Level0..1-140758867247274-Immunizationid-NA-TBD
administered_dateDateTimeTop Level1..1-2021-09-22T17:01:00Z-ImmunizationoccurrenceDateTime-NA-TBD
administering_physicianIntegerTop Level1..1-720898-Immunizationperformer[*].actor.reference-NA-TBD
allowed_sharingBooleanTop Level0..1-null-Immunizationextension[*].valueString-NAallowed-sharingstring
created_dateDateTimeTop Level0..1-2022-06-29T09:59:28Z-Immunizationrecorded-NA-TBD
deleted_dateDateTimeTop Level0..1-null-Immunizationextension[*].valueDate-NAdeleted-datedateTime
descriptionStringTop Level0..1-Comvax Intramuscular Suspension 7.5-5 MCG/0.5ML (Hib-HepB)-Immunizationextension[*].valueString-NAdescriptionstring
dose_in_seriesIntegerTop Level0..1-null-ImmunizationprotocolApplied.series-NA-TBD
expiration_dateDateTop Level0..1-null-ImmunizationexpirationDate-NA-TBD
funding_sourceStringTop Level0..1-null-ImmunizationfundingSource.text-NA-string
info_sourceStringTop Level0..1from CDC value set-"New immunization record", "Historical information - source unspecified", "Historical information - from other provider", "Historical information - from parent's written record", "Historical information - from parent's recall", "Historical information - from other registry", "Historical information - from birth certificate", "Historical information - from school record", "Historical information - from public agency"ImmunizationreportOrigin.text-NA-string
lot_numberStringTop Level0..1---ImmunizationlotNumber-NA-TBD
manufacturer_codeStringTop Level0..1-null-Immunizationextension[*].valueString-NAmanufacturer-codestring
manufacturer_nameStringTop Level0..1---Immunizationmanufacturer.display-NA-TBD
methodStringTop Level0..1-Intramuscular-Immunizationroute.coding[1].display-NA-TBD
ndcStringTop Level0..1-null-Immunizationextension[*].valueString-NAndcstring
notesStringTop Level0..1---Immunizationnote[1].text-NA-markdown
ordering_physicianIntegerTop Level1..1-720898-Immunizationperformer[*].actor.reference-NA-TBD
patientIntegerTop Level1..1-140758844637185-Immunizationpatient.reference-NA-TBD
patient_consentBooleanTop Level0..1-null-Immunizationextension[*].valueString-NApatient-consentstring
practiceIntegerTop Level0..1-140758835265540-Immunizationperformer[*].actor.referenceOrganizationNA-TBD
priority_populationStringTop Level0..1-null-Immunizationextension[*].valueString-NApriority-populationstring
publicity_codeStringTop Level0..1from CDC value set-"No reminder/recall", "Reminder/recall - any method", "Reminder/recall - no calls", "Reminder only - any method", "Reminder only - no calls", "Recall only - any method", "Recall only - no calls", "Reminder/recall - to provider", "Reminder to provider", "Only reminder to provider, no recall", "Recall to provider", "Only recall to provider, no reminder"Immunizationextension[*].valueString-NApublicity-codestring
qtyStringTop Level1..1-null-ImmunizationdoseQuantity.value-NA-TBD
qty_unitsStringTop Level0..1-ml-ImmunizationdoseQuantity.unit-NA-TBD
reasonStringTop Level0..1---ImmunizationreasonCode[1].text-NA-string
siteStringTop Level0..1-R Deltoid (RD)-Immunizationsite.coding[1].display-NA-TBD
vaccineObjectTop Level1..1---Immunization--NA-TBD
vaccine.cdc_nameStringTop Level1..1-Haemophilus influenzae type b-Immunizationextension[].extension[].valueString-NAcdc-namestring
vaccine.cdc_typeStringTop Level1..1-Hib-HepB-Immunizationextension[].extension[].valueString-NAcdc-typestring
vaccine.cvxIntegerTop Level1..1-51-ImmunizationvaccineCode.coding[1].code-CVX-TBD
vaccine.nameStringTop Level1..1-Hib-Hep B-ImmunizationvaccineCode.coding[1].display-NA-TBD
vfc_eligibilityStringTop Level0..1from CDC value set and state/local-specific codes-"Not VFC eligible", "VFC eligible - Medicaid/Medicaid Managed Care", "VFC eligible - Uninsured", "VFC eligible - American Indian/Alaskan Native", "VFC eligible - Under-insured)", "Local-specific eligibility", "CA State General Fund Vaccines", "OR Special Projects", "OR Locally Owned", "HI Birthing Hospital Hepatitis B", "HI Adult Insured", "HI Adult Not Insured"ImmunizationprogramEligibility[1].text-NA-string
visStringTop Level0..1---Immunizationextension[*].valueString-NAvisstring