Extensions for Using Data Elements from FHIR DSTU2 in FHIR R5 - Downloaded Version null See the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/xver/ConceptMap/R2-Immunization-element-map-to-R5 | Version: 0.1.0 | |||
| Standards status: Trial-use | Maturity Level: 0 | Computable Name: R2ImmunizationElementMapToR5 | ||
This ConceptMap represents cross-version mappings for elements from a FHIR DSTU2 Immunization to FHIR R5.
Mapping from http://hl7.org/fhir/1.0 to http://hl7.org/fhir/5.0
Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/Immunization|1.0.2 to Immunizationversion: 5.0.0)
| Source Concept Details | Relationship | Target Concept Details | Comment | ||
| Codes from http://hl7.org/fhir/StructureDefinition/Immunization|1.0.2 | Codes from Immunization | ||||
| Immunization.meta | meta | is broader than | Immunization.meta | Immunization.meta | Element `Immunization.meta` is mapped to FHIR R5 element `Immunization.meta` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.meta` do not cover the following types: Meta. The mappings for `Immunization.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId. |
| Immunization.implicitRules | implicitRules | is equivalent to | Immunization.implicitRules | Immunization.implicitRules | Element `Immunization.implicitRules` is mapped to FHIR R5 element `Immunization.implicitRules` as `Equivalent`. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible. |
| Immunization.language | language | is equivalent to | Immunization.language | Immunization.language | Element `Immunization.language` is mapped to FHIR R5 element `Immunization.language` as `Equivalent`. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). |
| Immunization.text | text | is broader than | Immunization.text | Immunization.text | Element `Immunization.text` is mapped to FHIR R5 element `Immunization.text` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.text` do not cover the following types: Narrative. The mappings for `Immunization.text` do not cover the following types based on type expansion: div, status. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. |
| Immunization.contained | contained | is equivalent to | Immunization.contained | Immunization.contained | Element `Immunization.contained` is mapped to FHIR R5 element `Immunization.contained` as `SourceIsBroaderThanTarget`. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. |
| Immunization.identifier | identifier | is broader than | Immunization.identifier | Immunization.identifier | Element `Immunization.identifier` is mapped to FHIR R5 element `Immunization.identifier` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.identifier` do not cover the following types: Identifier. The mappings for `Immunization.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. |
| Immunization.status | status | is broader than | Immunization.status | Immunization.status | Element `Immunization.status` is mapped to FHIR R5 element `Immunization.status` as `RelatedTo`. The mappings for `Immunization.status` do not allow expression of the necessary codes, per the bindings on the source and target. The target context `Immunization.status` is a modifier element, so this extension does not need to be defined as a modifier. Will generally be set to show that the immunization has been completed. |
| Immunization.date | date | is equivalent to | Immunization.occurrence[x] | Immunization.occurrence[x] | Element `Immunization.date` is mapped to FHIR R5 element `Immunization.occurrence[x]` as `Equivalent`. The target context `Immunization.occurrence[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Immunization`. When immunizations are given a specific date and time should always be known. When immunizations are patient reported, a specific date might not be known. Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given. |
| Immunization.vaccineCode | vaccineCode | is equivalent to | Immunization.vaccineCode | Immunization.vaccineCode | Element `Immunization.vaccineCode` is mapped to FHIR R5 element `Immunization.vaccineCode` as `Equivalent`. |
| Immunization.patient | patient | is broader than | Immunization.patient | Immunization.patient | Element `Immunization.patient` is mapped to FHIR R5 element `Immunization.patient` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.patient` do not cover the following types based on type expansion: display, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Immunization.patient` with unmapped reference targets: Patient. |
| Immunization.wasNotGiven | wasNotGiven | is related to | Immunization.status | Immunization.status | Element `Immunization.wasNotGiven` is mapped to FHIR R5 element `Immunization.status` as `SourceIsBroaderThanTarget`. Element `Immunization.wasNotGiven` is mapped to FHIR R5 element `Immunization.statusReason` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.wasNotGiven` do not cover the following types: boolean. The mappings for `Immunization.wasNotGiven` do not cover the following types based on type expansion: value. |
| is related to | Immunization.statusReason | Immunization.statusReason | Element `Immunization.wasNotGiven` is mapped to FHIR R5 element `Immunization.status` as `SourceIsBroaderThanTarget`. Element `Immunization.wasNotGiven` is mapped to FHIR R5 element `Immunization.statusReason` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.wasNotGiven` do not cover the following types: boolean. The mappings for `Immunization.wasNotGiven` do not cover the following types based on type expansion: value. | ||
| Immunization.performer | performer | is related to | Immunization.performer.actor | Immunization.performer.actor | Element `Immunization.performer` is mapped to FHIR R5 element `Immunization.performer.actor` as `RelatedTo`. The mappings for `Immunization.performer` do not cover the following types based on type expansion: display, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Immunization.performer` with unmapped reference targets: Practitioner. |
| Immunization.requester | requester | is related to | Immunization.performer.actor | Immunization.performer.actor | Element `Immunization.requester` is mapped to FHIR R5 element `Immunization.performer.actor` as `RelatedTo`. The mappings for `Immunization.requester` do not cover the following types based on type expansion: display, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Immunization.requester` with unmapped reference targets: Practitioner. Other participants - delegate to Provenance resource. |
| Immunization.encounter | encounter | is broader than | Immunization.encounter | Immunization.encounter | Element `Immunization.encounter` is mapped to FHIR R5 element `Immunization.encounter` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.encounter` do not cover the following types based on type expansion: display, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Immunization.encounter` with unmapped reference targets: Encounter. |
| Immunization.manufacturer | manufacturer | is broader than | Immunization.manufacturer | Immunization.manufacturer | Element `Immunization.manufacturer` is mapped to FHIR R5 element `Immunization.manufacturer` as `RelatedTo`. The mappings for `Immunization.manufacturer` do not cover the following types: Reference. The mappings for `Immunization.manufacturer` do not cover the following types based on type expansion: display, reference. |
| Immunization.location | location | is broader than | Immunization.location | Immunization.location | Element `Immunization.location` is mapped to FHIR R5 element `Immunization.location` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.location` do not cover the following types based on type expansion: display, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Immunization.location` with unmapped reference targets: Location. |
| Immunization.lotNumber | lotNumber | is equivalent to | Immunization.lotNumber | Immunization.lotNumber | Element `Immunization.lotNumber` is mapped to FHIR R5 element `Immunization.lotNumber` as `Equivalent`. |
| Immunization.expirationDate | expirationDate | is equivalent to | Immunization.expirationDate | Immunization.expirationDate | Element `Immunization.expirationDate` is mapped to FHIR R5 element `Immunization.expirationDate` as `Equivalent`. |
| Immunization.site | site | is equivalent to | Immunization.site | Immunization.site | Element `Immunization.site` is mapped to FHIR R5 element `Immunization.site` as `Equivalent`. |
| Immunization.route | route | is equivalent to | Immunization.route | Immunization.route | Element `Immunization.route` is mapped to FHIR R5 element `Immunization.route` as `Equivalent`. |
| Immunization.doseQuantity | doseQuantity | is equivalent to | Immunization.doseQuantity | Immunization.doseQuantity | Element `Immunization.doseQuantity` is mapped to FHIR R5 element `Immunization.doseQuantity` as `Equivalent`. |
| Immunization.note | note | is broader than | Immunization.note | Immunization.note | Element `Immunization.note` is mapped to FHIR R5 element `Immunization.note` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.note` do not cover the following types: Annotation. The mappings for `Immunization.note` do not cover the following types based on type expansion: author[x], text, time. |
| Immunization.explanation | explanation | is related to | Immunization | Immunization | Element `Immunization.explanation` is mapped to FHIR R5 element `Immunization` as `SourceIsNarrowerThanTarget`. |
| Immunization.explanation.reason | reason | is narrower than | Immunization.reason | Immunization.reason | Element `Immunization.explanation.reason` is mapped to FHIR R5 element `Immunization.reason` as `SourceIsNarrowerThanTarget`. |
| Immunization.explanation.reasonNotGiven | reasonNotGiven | is narrower than | Immunization.reason | Immunization.reason | Element `Immunization.explanation.reasonNotGiven` is mapped to FHIR R5 element `Immunization.reason` as `SourceIsNarrowerThanTarget`. |
| Immunization.reaction | reaction | is broader than | Immunization.reaction | Immunization.reaction | Element `Immunization.reaction` is mapped to FHIR R5 element `Immunization.reaction` as `Equivalent`. A reaction may be an indication of an allergy or intolerance and, if this is determined to be the case, it should be recorded as a new [AllergyIntolerance](https://hl7.org/fhir/DSTU2/AllergyIntolerance.html) resource instance as most systems will not query against past Immunization.reaction elements. |
| Immunization.reaction.date | date | is equivalent to | Immunization.reaction.date | Immunization.reaction.date | Element `Immunization.reaction.date` is mapped to FHIR R5 element `Immunization.reaction.date` as `Equivalent`. |
| Immunization.reaction.detail | detail | is related to | Immunization.reaction.manifestation | Immunization.reaction.manifestation | Element `Immunization.reaction.detail` is mapped to FHIR R5 element `Immunization.reaction.manifestation` as `RelatedTo`. The mappings for `Immunization.reaction.detail` do not cover the following types: Reference. The mappings for `Immunization.reaction.detail` do not cover the following types based on type expansion: display, reference. |
| Immunization.reaction.reported | reported | is equivalent to | Immunization.reaction.reported | Immunization.reaction.reported | Element `Immunization.reaction.reported` is mapped to FHIR R5 element `Immunization.reaction.reported` as `Equivalent`. |
| Immunization.vaccinationProtocol | vaccinationProtocol | is broader than | Immunization.protocolApplied | Immunization.protocolApplied | Element `Immunization.vaccinationProtocol` is mapped to FHIR R5 element `Immunization.protocolApplied` as `Equivalent`. |
| Immunization.vaccinationProtocol.doseSequence | doseSequence | is broader than | Immunization.protocolApplied.doseNumber | Immunization.protocolApplied.doseNumber | Element `Immunization.vaccinationProtocol.doseSequence` is mapped to FHIR R5 element `Immunization.protocolApplied.doseNumber` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.vaccinationProtocol.doseSequence` do not cover the following types: positiveInt. The mappings for `Immunization.vaccinationProtocol.doseSequence` do not cover the following types based on type expansion: value. |
| Immunization.vaccinationProtocol.authority | authority | is broader than | Immunization.protocolApplied.authority | Immunization.protocolApplied.authority | Element `Immunization.vaccinationProtocol.authority` is mapped to FHIR R5 element `Immunization.protocolApplied.authority` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.vaccinationProtocol.authority` do not cover the following types based on type expansion: display, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Immunization.vaccinationProtocol.authority` with unmapped reference targets: Organization. |
| Immunization.vaccinationProtocol.series | series | is equivalent to | Immunization.protocolApplied.series | Immunization.protocolApplied.series | Element `Immunization.vaccinationProtocol.series` is mapped to FHIR R5 element `Immunization.protocolApplied.series` as `Equivalent`. |
| Immunization.vaccinationProtocol.seriesDoses | seriesDoses | is broader than | Immunization.protocolApplied.seriesDoses | Immunization.protocolApplied.seriesDoses | Element `Immunization.vaccinationProtocol.seriesDoses` is mapped to FHIR R5 element `Immunization.protocolApplied.seriesDoses` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.vaccinationProtocol.seriesDoses` do not cover the following types: positiveInt. The mappings for `Immunization.vaccinationProtocol.seriesDoses` do not cover the following types based on type expansion: value. |
| Immunization.vaccinationProtocol.targetDisease | targetDisease | is equivalent to | Immunization.protocolApplied.targetDisease | Immunization.protocolApplied.targetDisease | Element `Immunization.vaccinationProtocol.targetDisease` is mapped to FHIR R5 element `Immunization.protocolApplied.targetDisease` as `Equivalent`. |
Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/Immunization|1.0.2 to DSTU2: meta additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Immunization.meta (meta) | is equivalent to | Extension (DSTU2: meta additional types) | Element `Immunization.meta` is mapped to FHIR R5 element `Immunization.meta` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.meta` do not cover the following types: Meta. The mappings for `Immunization.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId. |
Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/Immunization|1.0.2 to DSTU2: text additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Immunization.text (text) | is equivalent to | Extension (DSTU2: text additional types) | Element `Immunization.text` is mapped to FHIR R5 element `Immunization.text` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.text` do not cover the following types: Narrative. The mappings for `Immunization.text` do not cover the following types based on type expansion: div, status. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. |
Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/Immunization|1.0.2 to DSTU2: identifier additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Immunization.identifier (identifier) | is equivalent to | Extension (DSTU2: identifier additional types) | Element `Immunization.identifier` is mapped to FHIR R5 element `Immunization.identifier` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.identifier` do not cover the following types: Identifier. The mappings for `Immunization.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. |
Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/Immunization|1.0.2 to DSTU2: in-progress | on-hold | completed | entered-in-error | stopped additional codesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Immunization.status (status) | is equivalent to | Extension (DSTU2: in-progress | on-hold | completed | entered-in-error | stopped additional codes) | Element `Immunization.status` is mapped to FHIR R5 element `Immunization.status` as `RelatedTo`. The mappings for `Immunization.status` do not allow expression of the necessary codes, per the bindings on the source and target. The target context `Immunization.status` is a modifier element, so this extension does not need to be defined as a modifier. Will generally be set to show that the immunization has been completed. |
Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/Immunization|1.0.2 to DSTU2: Flag for whether immunization was given additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Immunization.wasNotGiven (wasNotGiven) | is broader than | Extension (DSTU2: Flag for whether immunization was given additional types) | Element `Immunization.wasNotGiven` is mapped to FHIR R5 element `Immunization.status` as `SourceIsBroaderThanTarget`. Element `Immunization.wasNotGiven` is mapped to FHIR R5 element `Immunization.statusReason` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.wasNotGiven` do not cover the following types: boolean. The mappings for `Immunization.wasNotGiven` do not cover the following types based on type expansion: value. |
Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/Immunization|1.0.2 to DSTU2: Indicates a self-reported record (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Immunization.reported (reported) | is equivalent to | Extension (DSTU2: Indicates a self-reported record (new)) | Element `Immunization.reported` has a context of Immunization based on following the parent source element upwards and mapping to `Immunization`. Element `Immunization.reported` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). May need source of reported info (e.g. parent), but leave out for now. |
Group 8 Mapping from http://hl7.org/fhir/StructureDefinition/Immunization|1.0.2 to DSTU2: manufacturer additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Immunization.manufacturer (manufacturer) | is equivalent to | Extension (DSTU2: manufacturer additional types) | Element `Immunization.manufacturer` is mapped to FHIR R5 element `Immunization.manufacturer` as `RelatedTo`. The mappings for `Immunization.manufacturer` do not cover the following types: Reference. The mappings for `Immunization.manufacturer` do not cover the following types based on type expansion: display, reference. |
Group 9 Mapping from http://hl7.org/fhir/StructureDefinition/Immunization|1.0.2 to DSTU2: Vaccination notes additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Immunization.note (note) | is equivalent to | Extension (DSTU2: Vaccination notes additional types) | Element `Immunization.note` is mapped to FHIR R5 element `Immunization.note` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.note` do not cover the following types: Annotation. The mappings for `Immunization.note` do not cover the following types based on type expansion: author[x], text, time. |
Group 10 Mapping from http://hl7.org/fhir/StructureDefinition/Immunization|1.0.2 to DSTU2: detail additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Immunization.reaction.detail (detail) | is broader than | Extension (DSTU2: detail additional types) | Element `Immunization.reaction.detail` is mapped to FHIR R5 element `Immunization.reaction.manifestation` as `RelatedTo`. The mappings for `Immunization.reaction.detail` do not cover the following types: Reference. The mappings for `Immunization.reaction.detail` do not cover the following types based on type expansion: display, reference. |
Group 11 Mapping from http://hl7.org/fhir/StructureDefinition/Immunization|1.0.2 to DSTU2: doseSequence additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Immunization.vaccinationProtocol.doseSequence (doseSequence) | is broader than | Extension (DSTU2: doseSequence additional types) | Element `Immunization.vaccinationProtocol.doseSequence` is mapped to FHIR R5 element `Immunization.protocolApplied.doseNumber` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.vaccinationProtocol.doseSequence` do not cover the following types: positiveInt. The mappings for `Immunization.vaccinationProtocol.doseSequence` do not cover the following types based on type expansion: value. |
Group 12 Mapping from http://hl7.org/fhir/StructureDefinition/Immunization|1.0.2 to DSTU2: Details of vaccine protocol (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Immunization.vaccinationProtocol.description (description) | is equivalent to | Extension (DSTU2: Details of vaccine protocol (new)) | Element `Immunization.vaccinationProtocol.description` has a context of Immunization.protocolApplied based on following the parent source element upwards and mapping to `Immunization`. Element `Immunization.vaccinationProtocol.description` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). |
Group 13 Mapping from http://hl7.org/fhir/StructureDefinition/Immunization|1.0.2 to DSTU2: seriesDoses additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Immunization.vaccinationProtocol.seriesDoses (seriesDoses) | is broader than | Extension (DSTU2: seriesDoses additional types) | Element `Immunization.vaccinationProtocol.seriesDoses` is mapped to FHIR R5 element `Immunization.protocolApplied.seriesDoses` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.vaccinationProtocol.seriesDoses` do not cover the following types: positiveInt. The mappings for `Immunization.vaccinationProtocol.seriesDoses` do not cover the following types based on type expansion: value. |
Group 14 Mapping from http://hl7.org/fhir/StructureDefinition/Immunization|1.0.2 to DSTU2: Indicates if dose counts towards immunity (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Immunization.vaccinationProtocol.doseStatus (doseStatus) | is equivalent to | Extension (DSTU2: Indicates if dose counts towards immunity (new)) | Element `Immunization.vaccinationProtocol.doseStatus` has a context of Immunization.protocolApplied based on following the parent source element upwards and mapping to `Immunization`. Element `Immunization.vaccinationProtocol.doseStatus` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). May need to differentiate between status declarations by a provider vs. a CDS engine. |
Group 15 Mapping from http://hl7.org/fhir/StructureDefinition/Immunization|1.0.2 to DSTU2: Why dose does (not) count (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Immunization.vaccinationProtocol.doseStatusReason (doseStatusReason) | is equivalent to | Extension (DSTU2: Why dose does (not) count (new)) | Element `Immunization.vaccinationProtocol.doseStatusReason` has a context of Immunization.protocolApplied based on following the parent source element upwards and mapping to `Immunization`. Element `Immunization.vaccinationProtocol.doseStatusReason` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). |