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U.S. Data Access Framework (DAF) Immunization Profile (Profile)

Scope and Usage

This profile sets expectations for use of the Immunization resource to record immunization events associated with a patient within the Data Access Framework (DAF) Implementation Guide. This profile identifies which core elements,extensions,vocabularies and value sets must be Supported by DAF actors. For the definition of Supported please refer to DAF FHIR IG. The data elements identified by the profile are based on ONC 2014 Edition S&CC and DAF use cases. The mappings between the ONC 2014 Edition S&CC data elements and DAF data elements are captured in the table below, where the first column identifies the ONC 2014 Edition S&CC data element name, the second column maps the ONC 2014 Edition S&CC data elements to DAF data elements which are derived from ONC 2014 Edition S&CC standards and DAF use cases and lastly the third column identifies the mapping to FHIR resources and attributes.

Meaningful Use Data Element Mapping

The DAFImmunization profile mapping to Meaningful Use data elements and FHIR Resources are as shown below.

Meaningful Use Data Element Name	Mapping to Priority DAF Data Elements	FHIR Resource Mapping
Immunizations
	Immunization Vaccine	Immunization.vaccineType
	Vaccination Date	Immunization.date
	Vaccine Manufacturer	Immunization.manufacturer
	Vaccine Lot Number	Immunization.lotNumber
	Immunization Administered by Provider	Immunization.performer
	Vaccine Expiration Date	Immunization.expirationDate
	Vaccination Dosage Administered	Immunization.doseQuantity
	Vaccination Body Site	Immunization.site
	Vaccination Ordering Provider	Immunization.requester
	Vaccination Reaction	Immunization.reaction.symptom.code
	Vaccination Refused	Immunization.refusedIndicator
	Vaccination Refusal Reason	Immunization.explanation.refusalReason

Meaningful Use Data Element Name

Mapping to Priority DAF Data Elements

FHIR Resource Mapping

Immunizations

Immunization Vaccine

Immunization.vaccineType

Vaccination Date

Immunization.date

Vaccine Manufacturer

Immunization.manufacturer

Vaccine Lot Number

Immunization.lotNumber

Immunization Administered by Provider

Immunization.performer

Vaccine Expiration Date

Immunization.expirationDate

Vaccination Dosage Administered

Immunization.doseQuantity

Vaccination Body Site

Immunization.site

Vaccination Ordering Provider

Immunization.requester

Vaccination Reaction

Immunization.reaction.symptom.code

Vaccination Refused

Immunization.refusedIndicator

Vaccination Refusal Reason

Immunization.explanation.refusalReason

Boundaries and Relationships

This profile relies on the following other profiles:

DAFPatient which defines DAF Patient profile is used by DAFImmunization profile to refer to patients.
FHIR Extensibility defines how extensions can be applied to FHIR resources and data types. Specifically the data-absent-reason extension can be used to code data elements with missing information when appropriate. See DAF FHIR IG for additional guidance.

Profile Details

Profiles:
DAFImmunization	Defines constraints and extensions on the Immunization resource for use in querying and retrieving patient's immunization information.

Search Parameters

The full list of supported search parameters are can be accessed at DAF Requestor conformance expectations and DAF Responder conformance expectations.

Example Usage Scenarios

The following are example usage scenarios for the DAFImmunization profile:

Query for immunizations belonging to a Patient
Query for all patients who have had a specific vaccine administered
Query for immunizations administered based on lot number

Profile specific implementation guidance

Implementers need to be mindful of the following during their implementation

Representing No Known Immunizations: No Known Immunizations will be represented using the DAFImmunizationList profile with no entries.

See DAF FHIR IG for implementation guidance common to all profiles.