This page is part of the FHIR Specification (v0.0.82: DSTU 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
Details of a reaction that follows immunization
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="immunization-reaction"/> <url value="http://hl7.org/fhir/StructureDefinition/immunization-reaction"/> <name value="Details of a reaction that follows immunization"/> <publisher value="Health Level Seven, Inc. - [WG Name] WG"/> <contact> <telecom> <system value="url"/> <value value="http://hl7.org/special/committees/pher"/> </telecom> </contact> <description value="Categorical data indicating that an adverse event is associated in time to an immunization."/> <status value="draft"/> <date value="2015-03-18"/> <mapping> <identity value="v2"/> <uri value="http://hl7.org/v2"/> <name value="HL7 v2"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM"/> </mapping> <type value="extension"/> <abstract value="false"/> <contextType value="resource"/> <context value="MedicationAdministration"/> <base value="http://hl7.org/fhir/StructureDefinition/Extension"/> <snapshot> <element> <path value="Extension"/> <short value="Details of a reaction that follows immunization"/> <definition value="Categorical data indicating that an adverse event is associated in time to an immunization."/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <mapping> <identity value="v2"/> <map value="OBX-3"/> </mapping> <mapping> <identity value="rim"/> <map value="Observation[classCode=obs].code"/> </mapping> </element> <element> <path value="Extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <type> <code value="id"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Extension.extension"/> <slicing> <discriminator value="url"/> <ordered value="true"/> <rules value="openAtEnd"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Extension.extension"/> <name value="date"/> <short value="When did reaction start?"/> <definition value="Date of reaction to the immunization."/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> </type> <mapping> <identity value="v2"/> <map value="OBX-14 (ideally this would be reported in an IAM segment, but IAM is not part of the V2.x VXU message - most likely would appear in OBX segments if at all )"/> </mapping> <mapping> <identity value="rim"/> <map value=".effectiveTime"/> </mapping> </element> <element> <path value="Extension.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <type> <code value="id"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Extension.extension.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Extension.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comments value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition should be version specific. This will ideally be the URI for the Resource Profile defining the extension, with the code for the extension after a #."/> <min value="1"/> <max value="1"/> <type> <code value="uri"/> </type> <fixedUri value="date"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Extension.extension.valueDateTime"/> <short value="Value of extension"/> <definition value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/> <min value="0"/> <max value="1"/> <type> <code value="dateTime"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Extension.extension"/> <name value="detail"/> <short value="Additional information on reaction"/> <definition value="Details of the reaction."/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> </type> <mapping> <identity value="v2"/> <map value="OBX-5"/> </mapping> <mapping> <identity value="rim"/> <map value=".value"/> </mapping> </element> <element> <path value="Extension.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <type> <code value="id"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Extension.extension.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Extension.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comments value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition should be version specific. This will ideally be the URI for the Resource Profile defining the extension, with the code for the extension after a #."/> <min value="1"/> <max value="1"/> <type> <code value="uri"/> </type> <fixedUri value="detail"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Extension.extension.valueReference"/> <short value="Value of extension"/> <definition value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/> <min value="0"/> <max value="1"/> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Extension.extension"/> <name value="reported"/> <short value="Was reaction self-reported?"/> <definition value="Self-reported indicator."/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> </type> <mapping> <identity value="v2"/> <map value="(no such concept seems to exist for allergy/adverse reaction in V2.x)"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)"/> </mapping> </element> <element> <path value="Extension.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <type> <code value="id"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Extension.extension.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Extension.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comments value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition should be version specific. This will ideally be the URI for the Resource Profile defining the extension, with the code for the extension after a #."/> <min value="1"/> <max value="1"/> <type> <code value="uri"/> </type> <fixedUri value="reported"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Extension.extension.valueBoolean"/> <short value="Value of extension"/> <definition value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/> <min value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comments value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition should be version specific. This will ideally be the URI for the Resource Profile defining the extension, with the code for the extension after a #."/> <min value="1"/> <max value="1"/> <type> <code value="uri"/> </type> <fixedUri value="http://hl7.org/fhir/StructureDefinition/immunization-reaction"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Extension.value[x]"/> <short value="Value of extension"/> <definition value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/> <min value="0"/> <max value="0"/> <type> <code value="*"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> </snapshot> <differential> <element> <path value="Extension"/> <short value="Details of a reaction that follows immunization"/> <definition value="Categorical data indicating that an adverse event is associated in time to an immunization."/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <mapping> <identity value="v2"/> <map value="OBX-3"/> </mapping> <mapping> <identity value="rim"/> <map value="Observation[classCode=obs].code"/> </mapping> </element> <element> <path value="Extension.extension"/> <name value="date"/> <short value="When did reaction start?"/> <definition value="Date of reaction to the immunization."/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> </type> <mapping> <identity value="v2"/> <map value="OBX-14 (ideally this would be reported in an IAM segment, but IAM is not part of the V2.x VXU message - most likely would appear in OBX segments if at all )"/> </mapping> <mapping> <identity value="rim"/> <map value=".effectiveTime"/> </mapping> </element> <element> <path value="Extension.extension.url"/> <type> <code value="uri"/> </type> <fixedUri value="date"/> </element> <element> <path value="Extension.extension.value[x]"/> <type> <code value="dateTime"/> </type> </element> <element> <path value="Extension.extension"/> <name value="detail"/> <short value="Additional information on reaction"/> <definition value="Details of the reaction."/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> </type> <mapping> <identity value="v2"/> <map value="OBX-5"/> </mapping> <mapping> <identity value="rim"/> <map value=".value"/> </mapping> </element> <element> <path value="Extension.extension.url"/> <type> <code value="uri"/> </type> <fixedUri value="detail"/> </element> <element> <path value="Extension.extension.value[x]"/> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/> </type> </element> <element> <path value="Extension.extension"/> <name value="reported"/> <short value="Was reaction self-reported?"/> <definition value="Self-reported indicator."/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> </type> <mapping> <identity value="v2"/> <map value="(no such concept seems to exist for allergy/adverse reaction in V2.x)"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)"/> </mapping> </element> <element> <path value="Extension.extension.url"/> <type> <code value="uri"/> </type> <fixedUri value="reported"/> </element> <element> <path value="Extension.extension.value[x]"/> <type> <code value="boolean"/> </type> </element> <element> <path value="Extension.url"/> <type> <code value="uri"/> </type> <fixedUri value="http://hl7.org/fhir/StructureDefinition/immunization-reaction"/> </element> <element> <path value="Extension.value[x]"/> <min value="0"/> <max value="0"/> </element> </differential> </StructureDefinition>
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.