Immunization Registry Content: Difference between revisions

From IHE Wiki
Jump to navigation Jump to search
Dshields (talk | contribs)
No edit summary
Dshields (talk | contribs)
Line 139: Line 139:
|Scope (Refusal Reason Code) || <additions to list of SNOMED code(s) to include IZ Refusal Reasons> ||advanceDirectives.code
|Scope (Refusal Reason Code) || <additions to list of SNOMED code(s) to include IZ Refusal Reasons> ||advanceDirectives.code
|-  
|-  
<br>
<br>

Revision as of 18:21, 29 May 2008

Data Element Index

This text needs to be fixed-->>We want to add definitions to all of the element names. Some may be self-explanatory<<--

Data Elements Element from Care Record Root Element from POIZ Root Other Reference
Patient Elements for Immunization Content
Patient ID patient.id subject.id not required for Vaccine Decision Support
DOB patient.birthTime subject.birthTime only required for Vaccine Decision Support
Gender patient.administrativeGender subject.administrativeGender only required for Vaccine Decision Support
History of Immunizations
Immunization Record ID id id instance identifier
Negation Indicator negationInd negationInd
Description text text
Immunization Date effectiveTime effectiveTime
Confidentiality Code confidentialityCode not defined in Care Record
Uncertainty Code uncertaintyCode not defined in Care Record
Dose Quantity doseQuantity.value - units doseQuantity.value - units
Route routeCode routeCode
Approach Site approachSiteCode approachSiteCode
Vaccine Code consumable. administerableMaterial. administerableMaterial. code consumable. administerableMedication. administerableMedicine. code CDC CVX code in US
Vaccine Name consumable. administerableMaterial. administerableMaterial. name consumable. administerableMedication. administerableMedicine. name
Vaccine Lot # consumable. administerableMaterial. administerableMaterial. lotNumberText consumable. administerableMedication. administerableMedicine. lotNumberText
Vaccine Expiration Date consumable. administerableMaterial. administerableMaterial. expirationTime consumable. administerableMedication. administerableMedicine. expirationTime
Manufacturer ID consumable. administerableMaterial. administerableMaterial. asMedicineManufacturer. manufacturer.id consumable. administerableMedication. administerableMedicine. asMedicineManufacturer. manufacturer.id CDC MVX code in US
Manufacturer name consumable. administerableMaterial. administerableMaterial. asMedicineManufacturer. manufacturer. name consumable. administerableMedication. administerableMedicine. asMedicineManufacturer. manufacturer. name
Vaccine Lot # Recalled Effective Date consumable. administerableMaterial. administerableMaterial. asMedicineManufacturer. entryRelationship. observation. effectiveTime consumable. administerableMedication. administerableMedicine. asMedicineManufacturer. entryRelationship. observation. effectiveTime Date Recall was effective
Vaccine Lot # Recalled Code consumable. administerableMaterial. administerableMaterial. asMedicineManufacturer. entryRelationship. observation. code consumable. administerableMedication. administerableMedicine. asMedicineManufacturer. entryRelationship. observation. code SNOMED code for vaccine recalled
Vaccine Lot # Recalled Noted Time consumable. administerableMaterial. administerableMaterial. asMedicineManufacturer. entryRelationship. observation. value consumable. administerableMedication. administerableMedicine. asMedicineManufacturer. entryRelationship. observation. value Date Recall was noted
Adverse Event entryRelationship. observation. code entryRelationship. observation. code 6.4.4.15.8 - Observation w/SNOMED code
Adverse Event Time entryRelationship. observation. effectiveTime entryRelationship. observation. effectiveTime 6.4.4.15.8
Adverse Event Severity entryRelationship. observation. entryRelationship. observation. code entryRelationship. observation. entryRelationship. observation. code 6.4.4.15.8
Performer ID performer. assignedEntity. id performer. assignedEntity. id
Performer Name performer. assignedEntity. assignedPerson. name performer. assignedEntity. assignedPerson. name
Performer Organization ID performer. assignedPerson. representedOrganization. id performer. assignedPerson. representedOrganization. id
Performer Organization Name performer. assignedPerson. representedOrganization. name performer. assignedPerson. representedOrganization. name
Author ID author. assignedEntity. id author. assignedEntity. id
Author Name author. assignedEntity. assignedPerson. name author. assignedEntity. assignedPerson. name
Informant Name informant. assignedEntity. assignedPerson. name informant. assignedEntity. assignedPerson. name
Informant Mode informant. modeCode written/verbal/electronic
Informant Source informant. informationSource. code patient/relative/provider
Informant Name informant. relatedEntity. assignedPerson. name Care Record also defines options for informant by electronic data transfer
Reason Not Administered reason. noImmunizationReason. reasonCode
Vaccine Information Statement Given observation. code observation. code
VIS Version observation. value observation. value
Shot Comments / Notes annotation. text annotation. text



Data Elements Other Reference Care Record Element
Existing Problem Record Data Elements use as-is templateId=1.3.6.1.4.1.19376.1.5.3.1.4.5
Existing Allergy and Intolerance Data Elements use as-is templateId= 1.3.6.1.4.1.19376.1.5.3.1.4.6
Allergen Substance substance causing allergy (allergy to eggs must be noted) intolerances.participant.code
Allergic Reaction History intolerances.reactions
Severity intolerances.severity
Clinical Status intolerances.clinicalStatus
Comments intolerances.comments
Existing Medications Data Elements use as-is templateId= 1.3.6.1.4.1.19376.1.5.3.1.4.7
Existing Simple Observations for Labs use as-is templateId= 1.3.6.1.4.1.19376.1.5.3.1.4.13
Existing Vital Signs Data Elements use as-is templateId= 1.3.6.1.4.1.19376.1.5.3.1.4.13.1 templateId= 1.3.6.1.4.1.19376.1.5.3.1.4.13.2
Observation Code LOINC: 8310-5 body temp (must be noted if reason for not immunizing) vitalSigns.code
Observation Value - Units vitalSigns.value
Existing Pregnancy Data Elements use as-is templateId= 1.3.6.1.4.1.19376.1.5.3.1.4.13.5
Existing Advanced Directives Data Elements use as-is templateId= 1.3.6.1.4.1.19376.1.5.3.1.4.13.7
Scope (Refusal Reason Code) <additions to list of SNOMED code(s) to include IZ Refusal Reasons> advanceDirectives.code