This page is part of the Profiles for ICSR Transfusion and Vaccination Adverse Event Detection and Reporting (v1.0.1: STU 1 Update) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Relationship to US-Core

We have tried to have the FHIR profiles conform to the HL7 FHIR US Core Implementation Guide where applicable. Below is a summary of the differences between the profiles defined in this guide and the US-Core profiles:

Differences from IG-defined Profiles to US-Core

• Patient: Added militaryStatus extension and made telecom Must Support
• Practitioner: Added mustSupport to: telecom, address
• PractitionerRole: Map from the US Core Provider Role (NUCC) value set to ICSR codes
• Organization:
  • Added DepartmentName extension
  • Added mustSupport to: type, contact
  • Made mandatory: type, contact, address
  • Restricted telecom to 1 phone, 1 fax, and/or 1 email
• RelatedPerson: Not in US-Core
• MedicationAdministration: Not in US-Core
• Medication: US-Core Medication profile is not referenced because it mandates RxNorm and we need to supply NDC codes for medication
• Immunization:
  • Added ageAtVaccination extension
  • Added mustSupport to: manufacturer, location, lotNumber, expirationDate, site, route, doseQuantity
• Procedure:
  • Added extension for BiologicallyDerivedProduct to usedReference
  • Added extension for quantity of used item
• BiologicallyDerivedProduct: Not in US-Core
• Vital Signs: Used without change for Weight, Height, LastMenstrualPeriod, AgeGroup
• AdverseEvent: Not in US-Core