Frequently Asked Question
The current Vaccination data logical model, as published in the v1.0 of the INAMI-RIZIV Vaccination Business rules is the following:
Cardinalities explained
Cardinality | Definition |
0..1 | No mandatory instance but maximum one instance (the element is optional) |
1..1 | One and only one possible instance (the element is mandatory) |
0..* | No instance or several (the element is optional but no limit in the number) |
1..* | At least one instance is mandatory but there is no limit to the number |
0..n | 0 instances minimum, n instances maximum (n being an integer) |
1..n | 1 instance minimum, n instances maximum (n being an integer) |
Description of each element of the model
Item | Cardinality | Description | FHIR item |
RecordedDate | 1 .. 1 | Date of encoding of the vaccination information by the Recorder. | Recorded |
Patient | 1 .. 1 | Is the unique patient identifier. The unique identifier must be the patient's National Registration Number (NISS) or BIS number. | Patient |
Vaccination Request | 0 .. 1 | Refers to a possible electronic prescription (this element corresponds to the electronic prescription identifier (RID code)). | Vaccination- originalOrder (extension) |
Recorder | 1 .. 1 | Is the unique identifier of the healthcare professional who takes responsibility for the encoded content. The unique identifier must be the professional's national registration number (NISS or BIS number). | Recorder (be.extension) |
Performer | 0 .. 1 | Is the unique identifier of the health care professional who administered the vaccine. The unique identifier must be the professional's National Registration Number (NISS) or BIS number when the NISS or BIS number exists. Otherwise, other identifying information may be entered. E.g.: INAMI number, first and last name, identification number for foreign providers... | Performer |
Vaccine Code | 1 .. 1 | Is the name of the pathogen(s) covered by the vaccine administered. Ex: cholera, rubella... It will be specified in SNOMED CT (list: see Value Set). | VaccineCode |
Protocol Applied | 0 .. 0 | Reference to an immunization program (ONE program...). This element will not be used from a functional point of view (in version 1). | ProtocolApplied. series |
VaccineType | 0 .. 0 | Type of vaccine (Primary or booster). This element will not be used from a functional point of view (in version 1). | ProtocolApplied. DoseNumberString |
Sequence Number | 0 .. 0 | The vaccine administrator must specify the sequence of the injected dose (1st dose, 2nd dose, ...) in numerical format. Ex : 1 for first injection, 2 for second injection...). This element will not be used from a functional point of view (in version 1). | ProtocolApplied. DoseNumber PositiveInt |
Reliability | 0 .. 0 | Degree of reliability of the information received from the patient (authentic or reported data) whether it is at the level of the performer, the vaccine administered and/or the date of administration. This element will not be used from a functional point of view (in version 1). | Vaccination. ConfirmationStatus (Be.extension) |
Administration Date | 1 .. 1 | Date of vaccine administration by the Performer. The date must be in the format day/month/year. For a date that is not precisely known, the system allows for incomplete dates as specified in FHIR : A date, date-time or partial date (e.g. just year or year + month) as used in human communication. The format is YYYY, YYYY-MM, YYYY-MM-DD or YYYY-MM-DDThh:mm:ss+zz:zz | Occurrence(x) |
Product | 0 .. 1 | Is the name of the vaccine administered (e.g., Prirorix or MMr-Vax-PRO measles-mumps vaccine). It will be defined by a unique number that defines the product administered as found in the authentic SAM V2 drug source. Preferably, the CTI-Extended will be used first, or otherwise the CNK, or lastly the ATC. The CTI-Extended has the advantage that it represents all drug products commercialized in Belgium and recognized by the medicines agency. The CNK is not always present. As this element is not mandatory, in the case of a foreign vaccine, the product will not be mentioned. | administered Product (be.extension) |
Route | 0 .. 1 | Is the route of administration by which a vaccine is brought into contact with the body. | Route |
Status | 1 .. 1 | Indicates the status of the record. | Status |
LotNumber | 0 .. 1 | The lot number of the vaccine. | LotNumber |
Expiration Date | 0 .. 1 | Expiration date of the vaccine. | ExpirationDate |
Reason Status | 0 .. 1 | Indicates the main reason why the vaccine was not administered (in case the Status is Not-done). | StatusReason |
Location | 0 .. 1 | The place where the vaccine was administered (e.g. at the patient's home, at the hospital, at the ONE or Kind&Gezin, at the pediatrician's office, ...). The place of vaccination can also be encoded via the registration number, INAMI-RIZIV... | Vaccination-Location (be.extension) |
Reaction | 0 .. * | The reaction to a vaccination is the manifestation that occurs no more than 30 minutes after the administration of the vaccine. | Reaction |
Dose Quantity | 0 .. 1 | The proportion of the product dose administered during the vaccination (expressed in decimals). Ex: 1.0 for a full dose (default value), 0.5 for a half dose... | DoseQuantity |
BodySite | 0 .. 1 | The part of the body where the vaccine was administered. | Site |
Body Laterality | 0 .. 1 | The laterality of the BodySite. | To add |
Note | 0 .. * | Additional information. | Note |