Da Vinci Payer Data exchange Implementation Guide Release 0.1.0

This page is part of the Da Vinci Payer Data Exchange (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

3-6-10 US Core Immunization

Where a Health Plan has access to Immunization information for a member the health plan SHOULD present the information using the US Core Immunization resource.

The essential fields to be provided in the US Core Immunization resource are:

R4 Hierarchical Name R4 Name Card. Type    
Immunization Immunization 0..*      
Immunization.id id 0..1 id    
Immunization.status status 1..1 code    
Immunization.statusReason statusReason 0..1 CodeableConcept    
Immunization.vaccineCode vaccineCode 1..1 CodeableConcept    
Immunization.patient patient 1..1 Reference(US Core Patient Profile)    
Immunization.occurrence[x] occurrence[x] 1..1 dateTime, string    
Immunization.primarySource primarySource 1..1 boolean    
Immunization.performer.actor actor 1..1 Reference(Practitioner PractitionerRole Organization)
Immunization.protocolApplied.doseNumber[x] doseNumber[x] 1..1 positiveInt, string    

3-6-10-1 Example Immunization Resource:

An example mapping of an Immunization resource is shown below:

{
  "resourceType" : "Immunization",
  "id" : "imm-1",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">

Generated Narrative with Details

id: imm-1

meta:

status: completed

vaccineCode: influenza, injectable, quadrivalent, contains preservative <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/sid/cvx code '158' = 'influenza, injectable, quadrivalent', given as 'influenza, injectable, quadrivalent, contains preservative'}; {http://hl7.org/fhir/sid/ndc code '49281-0621-15' = '49281-0621-15', given as 'FLUZONE QUADRIVALENT'})</span>

patient: <a href=\"Patient-example.html\">Amy Shaw. Generated Summary: id: example; Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: Feb 20, 2007</a>

occurrence: Jan 8, 2016, 12:00:00 AM

primarySource: false

</div>" }, "status" : "completed", "vaccineCode" : { "coding" : [ { "system" : "http://hl7.org/fhir/sid/cvx", "code" : "158", "display" : "influenza, injectable, quadrivalent, contains preservative" }, { "system" : "http://hl7.org/fhir/sid/ndc", "code" : "49281-0621-15", "display" : "FLUZONE QUADRIVALENT" } ] }, "patient" : { "reference" : "Patient/example", "display" : "Amy Shaw" }, "occurrenceDateTime" : "2016-01-08", "primarySource" : false }