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11.7.8 Resource Immunization - Mappings

Public Health icon 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 icon)

Immunization clinical.medication
    identifier FiveWs.identifier
    status FiveWs.status
    vaccineCode FiveWs.what[x]
    administeredProduct FiveWs.what[x]
    patient FiveWs.subject[x]
    encounter FiveWs.context
    supportingInformation FiveWs.context
    occurrence[x] FiveWs.done[x]
    primarySource FiveWs.source
    informationSource FiveWs.source
    location FiveWs.where[x]
        actor FiveWs.actor

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

Immunization Event
    identifier Event.identifier
    basedOn Event.basedOn
    status Event.status
    statusReason Event.statusReason
    vaccineCode Event.code
    administeredProduct Event.code
    patient Event.subject
    encounter Event.encounter
    occurrence[x] Event.occurrence[x]
    primarySource Event.reported
    informationSource Event.reported
    location Event.location
    performer Event.performer
        function Event.performer.function
        actor Event.performer.actor
    note Event.note
    reason Event.reason

11.7.8.3 HL7 V2 Mapping (http://hl7.org/v2 icon)

Immunization VXU_V04
    identifier
    basedOn
    status
    statusReason
    vaccineCode RXA-5
    administeredProduct RXA-5
    manufacturer RXA-17
    lotNumber RXA-15
    expirationDate RXA-16
    patient PID-3
    encounter PV1-19
    supportingInformation
    occurrence[x] RXA-3
    primarySource RXA-9
    informationSource RXA-9
    location RXA-27 (or RXA-11, deprecated as of v2.7)
    site RXR-2
    route RXR-1
    doseQuantity RXA-6 / RXA-7
    performer ORC-12 / RXA-10
        function
        actor
    note OBX-5 : OBX-3 = 48767-8
    reason
    isSubpotent RXA-20 = PA (partial administration)
    subpotentReason
    programEligibility OBX-5 : OBX-3 = 64994-7
        program
        programStatus
    fundingSource
    reaction OBX-3
        date OBX-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)
        manifestation OBX-5
        reported (HL7 V2 doesn't seem to provide for this)
    protocolApplied
        series
        authority
        targetDisease
        doseNumber
        seriesDoses

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

Immunization
    identifier ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/id
    basedOn
    status
    statusReason
    vaccineCode ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/realmCode/code
    administeredProduct ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/realmCode/code
    manufacturer ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacuturerOrganization/name
    lotNumber ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/lotNumberText
    expirationDate
    patient
    encounter
    supportingInformation
    occurrence[x] ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/effectiveTime/value
    primarySource
    informationSource
    location
    site ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/approachSiteCode/code
    route ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/routeCode/code
    doseQuantity
    performer
        function
        actor
    note
    reason
    isSubpotent
    subpotentReason
    programEligibility
        program
        programStatus
    fundingSource
    reaction
        date
        manifestation
        reported
    protocolApplied
        series
        authority
        targetDisease
        doseNumber
        seriesDoses

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

Immunization SubstanceAdministration
    identifier .id
    basedOn N/A
    status statusCode
    statusReason .inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde
    vaccineCode .code
    administeredProduct .code
    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
    patient .partipication[ttypeCode=].role
    encounter component->EncounterEvent
    occurrence[x] .effectiveTime
    primarySource immunization.uncertaintycode (if primary source=false, uncertainty=U)
    informationSource .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
    site observation.targetSiteCode
    route .routeCode
    doseQuantity .doseQuantity
    performer .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
        function .participation.functionCode
        actor .player
    note note
    reason [actionNegationInd=false].reasonCode
    isSubpotent N/A
    subpotentReason N/A
    programEligibility n/a
        program n/a
        programStatus n/a
    fundingSource N/A
    reaction Observation[classCode=obs].code
        date .effectiveTime
        manifestation .value
        reported .participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)
    protocolApplied N/A
        series N/A
        authority N/A
        targetDisease N/A
        doseNumber N/A
        seriesDoses N/A