Difference between revisions of "Immunization Registry Content"
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|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 | ||
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Revision as of 18:21, 29 May 2008
Data Element Index
-->>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 |