Immunization Profile¶

Canonical	`../StructureDefinition/nexus-emr-core-immunization`
Status	draft · 1.26.0
Base	Immunization (constraint)
Source	FSH · JSON

Nexus EMR profile for Immunization resources, aligned with CA-Core+ and CII requirements. Records details about vaccines administered to a patient.

Overview

The Nexus EMR Core Immunization profile represents vaccination records and immunization history within primary care EMR systems. This profile captures comprehensive immunization details including vaccine products, administration dates, sites, routes, and related clinical context across the Nexus EMR ecosystem.

Key Features

Canadian Vaccine Coding: NVC and SNOMED CT, with source EMR vaccine codes carried alongside; CVX accepted on imported US records
Administration Details: Captures site, route, and dose information
Status Tracking: Distinguishes completed, not-done, and entered-in-error immunizations
Clinical Context: Links to encounters and healthcare providers
Historical Records: Supports both administered and historical immunizations

Vaccine Documentation

Essential elements include:

Vaccine Product: Name and codes (NVC or SNOMED CT, or local)
Administration Date: When the vaccine was given
Body Site: Anatomical location of administration
Route: How the vaccine entered the body
Lot Number: For tracking and recall purposes
Expiration Date: Vaccine product expiration

Clinical Use Cases

This profile supports various immunization scenarios:

Routine childhood vaccinations
Annual flu shots and boosters
Travel immunizations
COVID-19 vaccination series
Historical immunization documentation
Contraindicated vaccines

Public Health Integration

Supports reporting requirements for:

Provincial immunization registries
Public health surveillance
School immunization records
Outbreak management
Vaccine coverage reporting

Terminology bindings

Path	Strength	Value set
`Immunization.status`	required	immunization-status
`Immunization.statusReason`	example	immunization-status-reason