Release 4B Snapshot #1

This page is part of the FHIR Specification v4.3.0-snapshot1: R4B Snapshot to support the Jan 2022 Connectathon. About the R4B version of FHIR. The current officially released version is 4.3.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

11.7.8 Resource Immunization - Mappings

Public Health and Emergency Response Work GroupMaturity Level: N/AStandards Status: InformativeSecurity Category: Patient Compartments: Patient, Practitioner

Mappings:

FiveWs Pattern Mapping

Workflow Pattern

HL7 v2 Mapping

CDA (R2)

RIM Mapping

Mappings for the immunization resource (see Mappings to Other Standards for further information & status).

11.7.8.1 FiveWs Pattern Mapping (http://hl7.org/fhir/fivews )

Immunization
    identifierFiveWs.identifier
    statusFiveWs.status
    vaccineCodeFiveWs.what[x]
    patientFiveWs.subject[x]
    encounterFiveWs.context
    occurrence[x]FiveWs.done[x]
    recordedFiveWs.recorded
    primarySourceFiveWs.source
    reportOriginFiveWs.source
    locationFiveWs.where[x]
        actorFiveWs.actor

11.7.8.2 Workflow Pattern (http://hl7.org/fhir/workflow )

ImmunizationEvent
    identifierEvent.identifier
    statusEvent.status
    statusReasonEvent.statusReason
    vaccineCodeEvent.code
    patientEvent.subject
    encounterEvent.context
    occurrence[x]Event.occurrence[x]
    locationEvent.location
    performerEvent.performer
        functionEvent.performer.function
        actorEvent.performer.actor
    noteEvent.note
    reasonCodeEvent.reasonCode
    reasonReferenceEvent.reasonReference

11.7.8.3 HL7 v2 Mapping (http://hl7.org/v2 )

ImmunizationVXU_V04
    identifier
    status
    statusReason
    vaccineCodeRXA-5
    patientPID-3
    encounterPV1-19
    occurrence[x]RXA-3
    recorded
    primarySourceRXA-9
    reportOriginRXA-9
    locationRXA-27 (or RXA-11, deprecated as of v2.7)
    manufacturerRXA-17
    lotNumberRXA-15
    expirationDateRXA-16
    siteRXR-2
    routeRXR-1
    doseQuantityRXA-6 / RXA-7
    performerORC-12 / RXA-10
        function
        actor
    noteOBX-5 : OBX-3 = 48767-8
    reasonCode
    reasonReference
    isSubpotentRXA-20 = PA (partial administration)
    subpotentReason
    education
        documentTypeOBX-5 : OBX-3 = 69764-9
        reference
        publicationDateOBX-5 : OBX-3 = 29768-9
        presentationDateOBX-5 : OBX-3 = 29769-7
    programEligibilityOBX-5 : OBX-3 = 64994-7
    fundingSource
    reactionOBX-3
        dateOBX-14 (ideally this would be reported in an IAM segment, but IAM is not part of the HL7 v2 VXU message - most likely would appear in OBX segments if at all)
        detailOBX-5
        reported(HL7 v2 doesn't seem to provide for this)
    protocolApplied
        series
        authority
        targetDisease
        doseNumber[x]
        seriesDoses[x]

11.7.8.4 CDA (R2) (http://hl7.org/v3/cda )

Immunization
    identifierClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/id
    status
    statusReason
    vaccineCodeClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/realmCode/code
    patient
    encounter
    occurrence[x]ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/effectiveTime/value
    recorded
    primarySource
    reportOrigin
    location
    manufacturerClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacuturerOrganization/name
    lotNumberClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/lotNumberText
    expirationDate
    siteClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/approachSiteCode/code
    routeClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/routeCode/code
    doseQuantity
    performer
        function
        actor
    note
    reasonCode
    reasonReference
    isSubpotent
    subpotentReason
    education
        documentType
        reference
        publicationDate
        presentationDate
    programEligibility
    fundingSource
    reaction
        date
        detail
        reported
    protocolApplied
        series
        authority
        targetDisease
        doseNumber[x]
        seriesDoses[x]

11.7.8.5 RIM Mapping (http://hl7.org/v3 )

ImmunizationSubstanceAdministration
    identifier.id
    statusstatusCode
    statusReason.inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde
    vaccineCode.code
    patient.partipication[ttypeCode=].role
    encountercomponent->EncounterEvent
    occurrence[x].effectiveTime
    recorded.participation[typeCode=AUT].time
    primarySourceimmunization.uncertaintycode (if primary source=false, uncertainty=U)
    reportOrigin.participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported) .participation[typeCode=INF].role[classCode=LIC] (this syntax for health care professional) .participation[typeCode=INF].role[classCode=PRS] (this syntax for family member)
    location.participation[typeCode=LOC].COCT_MT240000UV
    manufacturer.participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=ORG]
    lotNumber.participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].id
    expirationDate.participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime
    siteobservation.targetSiteCode
    route.routeCode
    doseQuantity.doseQuantity
    performer.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
        function.participation.functionCode
        actor.player
    notenote
    reasonCode[actionNegationInd=false].reasonCode
    reasonReferenceN/A
    isSubpotentN/A
    subpotentReasonN/A
    educationN/A
        documentTypeN/A
        referenceN/A
        publicationDateN/A
        presentationDateN/A
    programEligibilityN/A
    fundingSourceN/A
    reactionObservation[classCode=obs].code
        date.effectiveTime
        detail.value
        reported.participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)
    protocolAppliedN/A
        seriesN/A
        authorityN/A
        targetDiseaseN/A
        doseNumber[x]N/A
        seriesDoses[x]N/A