Details
-
Change Request
-
Resolution: Not Persuasive
-
Highest
-
US Core (FHIR)
-
7.0.0-ballot
-
Cross-Group Projects
-
STU
-
US Core Immunization Profile
-
-
Eric Haas/Hans Buitendijk: 17-3-3
Description
US Core 7.0 adds "location" as a MustSupport element to Immunization. Conceptually, this might be helpful if indicating the location at which an immunization was administered. However, the Immunization Community has been and continues to function based on the need to understand if the submitted of an immunization administration record is the primary source (meaning "it was given here") or not, and addressing "source" not by location, but using a specific PHIN-VADS value set Source of Information (https://phinvads.cdc.gov/vads/ViewValueSetConcept.action?id=54C35E6E-6D6B-11EB-9CAB-00505693340B). It is part of existing and active HL7 v2 communication between EHRs (immunization administration sites) and public health immunization registries known as Immunization Information Systems (IIS). The information does not specify a specific location which, in current US Core terms would be an address, the value set specifies information critical to understanding its reliability, specifically, a value set with the following meaning. US Core should align with common practice and include instead [Immunization.reportOrigin|reportOrigin] and bind to the value set referenced above and displayed below - that is the current in use practice. Location does not have sufficient meaning to support the IIS community.
Value | Description | Operational Definition |
00 | New immunization record | The record of a newly administered dose of vaccine. The dose was administered by the organization that is reporting this dose. |
01 | Historical information - source unspecified | The record of a vaccine dose from a reliable historical source, such as an immunization card. |
02 | Historical information - from other provider | The record of a vaccine dose from another health care provider's historical records. |
03 | Historical information - from parent's written record | The record of a vaccine dose from parentally maintained written records. |
04 | Historical information - from parent's recall | The record of a vaccine dose from a parents recall. The reliability of this record is considered low. |
05 | Historical information - from other registry | The record of a vaccine dose from another Immunization Information System (IIS). |
06 | Historical information - from birth certificate | The record of a vaccine dose from a birth record. |
07 | Historical information - from school record | The record of a vaccine dose from a written school record. |
08 | Historical information - from public agency | The record of a vaccine dose from a written public health agency record. |
Attachments
Issue Links
- is voted on by
-
BALLOT-58397 Negative - Floyd Eisenberg : 2024-Jan-FHIR US CORE E7 STU
- Withdrawn