Vaccinations Section Content
The vaccinations section carries information about the vaccinations administered. PRSB Elements should be formatted as subheadings in any HTML sent.
|Data Item||Description||Cardinality||Values||Mandatory/required/ optional||FHIR Target|
|Vaccine product||Vaccine product administered.||1 ONLY||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)||Mandatory||Immunization.vaccineCode|
|Vaccine procedure||The vaccination that was given e.g. seasonal influenza vaccination.||1 ONLY||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-||Mandatory||Immunization.extension(vaccinationProcedure)|
|Manufacturer||Name of vaccine manufacturer||0 TO 1||Derived from GS1 code/free text||Required||Immunization.manufacturer|
|Site||Body site vaccine was administered into.||0 TO 1||Choice of • Text • Coded text – constraint: SiteOfMedicationAdministration. Any valid site for the administration of a medication. Constraint binding: [SNOMED-CT]subset= SiteOfMedicationAdministration||Required||Immunization.site|
|Route||How vaccine entered the body.||0 TO 1||• 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.||Required||Immunization.route|
|Indication||The clinical indication or reason for administering the vaccine.||0 TO 1||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)||Optional||Immunization.explanation.reason|
|Dose amount||Amount of vaccine administered.||0 TO 1||This will be free text. Coded units of measure (from DM+D)||Required||Immuinzation.doseQuantity|
|Date/time||The date/time on which the vaccine was administered.||0 TO 1||The date/time as recorded by the pharmacy system.||Required||Immunization.date|
Example Vaccinations Section
Examples are illustrative only.
<!--<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>The vaccination product that was given. e.g. Influvac sub-unit Tetra vaccine suspension for injection 0.5ml pre-filled syringes</td> </tr> <tr> <th>Vaccine procedure</th> <td>The vaccination procedure that was followed e.g. Seasonal influenza vaccination given by pharmacist.</td> </tr> <tr> <th>Manufacturer</th> <td>Name of vaccine manufacturer</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>-->
This text section should be linked to the following FHIR Resources to provide the textual information in a coded format.