Gives information about the vaccinations section
Important: This specification is based on the Professional Records Standards Body's Pharmacy information flows standard which provides further information on document headings and content: https://theprsb.org/standards/pharmacyinformationflows1and2/
Vaccinations Section Content
The vaccinations section carries information about the vaccinations administered. PRSB Elements should be formatted as subheadings in any HTML sent.
| Section | Description | Card. | MRO* | FHIR Target and Guidance |
|---|---|---|---|---|
| Vaccinations section | This acts as a container that holds all of the elements for each instance of an vaccination entry. | 1 only | M | Carried in the CodeableConcept of Composition.section.code FHIR element. |
| PRSB Element | Description | Card. | MRO* | FHIR Target and Guidance |
| Vaccine product | Vaccine product administered. | 1 only | M | Choice of • Text • Coded text - constraint: MedicationName. Any AMP/VMP/VTM/AMPP/VMPP subsets from the dm+d terminology. NHS dm+d AMP ::352201000001139 NHS dm+d AMPP ::352401000001135 NHS dm+d VMP ::352701000001133 NHS dm+d VMPP ::352301000001131 NHS dm+d VTM ::352601000001138. Constraint binding: [dm+d]subset=NHS_dm+d (In the future needs to be GS1 code mapped to dm+d) |
| Vaccine procedure | The vaccination that was given e.g. seasonal influenza vaccination. | 1 only | M | For seasonal flu vaccinations the following coded text should be used: 955691000000108 | Seasonal influenza vaccination given by pharmacist (situation) | Note that 849211000000109 | seasonal influenza vaccination given by pharmacist (finding) | in the NHSE service specification was made inactive in April 2015 and was replaced by the concept above For general vaccinations the following coded text should be used: <<33879002 |Active immunisation| <<304250009 |Immunisation status| <<713404003 |Vaccination given| In addition there are some scattered concepts below in the situations hieararchy. <<955641000000103 |Influenza vaccination given by other healthcare provider| 955701000000108 |Seasonal influenza vaccination given while hospital inpatient| <<957581000000102 |Meningitis B vaccination given by other healthcare provider| 957751000000103 |Meningitis ACW & Y vaccination given by other healthcare provider| <<1066171000000108 |Seasonal influenza vaccination given by midwife| 140611000119104 |Human papilloma virus type 16 and 18 vaccination given| |
| Manufacturer | Name of vaccine manufacturer | 0 to 1 | R | Derived from GS1 code/free text |
| Serialisation code | A code that separately identifies two identical vaccines (i.e. same product, same batch). | 0 to 1 | O | Derived from FMD code or free text. |
| Site | Body site vaccine was administered into. | 0 to 1 | R | Choice of • Text • Coded text – constraint: SiteOfMedicationAdministration. Any valid site for the administration of a medication. Constraint binding: [SNOMED-CT]subset= SiteOfMedicationAdministration |
| Route | How vaccine entered the body. | 0 to 1 | R | • Coded text – constraint: NHS e-prescribing route of administration subset ID: 413001000001136 Original Id : 30201000001137 This is an extract from the SUBSET -BiAnnual-Drug-15.0.1-20130401: SnomedCT_GB1000001_20130401/Subsets/EPrescribing/NHS e-Prescribing route of administration subset. Constraint binding: [SNOMED-CT]subset=NHS e-Prescribing route of administration subset. |
| Indication | The clinical indication or reason for administering the vaccine. | 0 to 1 | O | This will be free text/proposal to use the list from below (as an example list) Routine mass immunisation 171279008|Immunization due (finding)| Travel to endemic area 414448007|Identified as high risk for travel immunization (finding)| Planned travel to high risk area 161096004|Going to travel abroad (finding)| Recent travel to high risk area 506931000000109|Recent travel to disease affected area (finding)| Subpopulation at special or unusual risk 78648007|At risk for infection (finding)| High risk due to occupation 14679004 Occupation (occupation) High risk due to lifestyle 134436002|Lifestyle (finding)| High risk due to existing medical condition 398192003|Co-morbid conditions (finding)| Control of known sporadic outbreak 443684005|Disease outbreak (event)| Patient request 183995001|Patient requested procedure (situation)| Post-exposure prophyaxis 444107005|Exposure to communicable disease (event)| Other 723620004|Requires vaccination (finding) |
| Dose amount | Amount of vaccine administered. | 0 to 1 | R | This will be free text. Coded units of measure (from DM+D) |
| DateTime | The date/time on which the vaccine was administered. | 0 to 1 | R | The date/time as recorded by the pharmacy system. This will be carried in the FHIR element Immunization.date. |
| * M=Mandatory R=Required O=Optional | ||||
Example Vaccinations Section
<xml>
<!--Vaccinations-->
<section>
<title value="Vaccinations"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1102181000000102"/>
<display value="Immunisations"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Vaccine product</th>
<td>Seasonal influenza vaccination given by pharmacist.</td>
</tr>
<tr>
<th>Vaccine procedure</th>
<td>The vaccination that was given e.g. seasonal influenza vaccination.</td>
</tr>
<tr>
<th>Manufacturer</th>
<td>Name of vaccine manufacturer</td>
</tr>
<tr>
<th>Serialisation code</th>
<td>xyz991/td>
</tr>
<tr>
<th>Site</th>
<td>Upper right arm<</td>
</tr>
<tr>
<th>Route</th>
<td>Subcutaneous route</td>
</tr>
<tr>
<th>Indication</th>
<td>Patient requested procedure.</td>
</tr>
<tr>
<th>Dose amount</th>
<td>Amount of vaccine administered.</td>
</tr>
<tr>
<th>DateTime</th>
<td>9-May-2018 10:00</td>
</tr>
</tbody>
</table>
</div>
</text>
<entry>
<reference value="urn:uuid:631ec8d3-6341-4c9e-b2a1-131af62718f2"/>
</entry>
</section>
</xml>
Coded Resources
This text section should be linked to the following FHIR Resources to provide the textual information in a coded format.
- Immunization
