R3ImmunizationElementMapToR4B - Extensions for Using Data Elements from FHIR STU3 in FHIR R4B v0.1.0

Extensions for Using Data Elements from FHIR STU3 in FHIR R4B - Downloaded Version null See the Directory of published versions

ConceptMap: R3ImmunizationElementMapToR4B

Official URL: http://hl7.org/fhir/uv/xver/ConceptMap/R3-Immunization-element-map-to-R4B				Version: 0.1.0
Standards status: Trial-use		Maturity Level: 0	Computable Name: R3ImmunizationElementMapToR4B

This ConceptMap represents cross-version mappings for elements from a FHIR STU3 Immunization to FHIR R4B.

Mapping from http://hl7.org/fhir/3.0 to http://hl7.org/fhir/4.3

Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/Immunization|3.0.2 to Immunizationversion: 4.3.0)

Source Concept Details

Relationship

Target Concept Details

Comment

Codes from http://hl7.org/fhir/StructureDefinition/Immunization|3.0.2

Codes from Immunization

Immunization.meta

meta

maps to wider concept

Immunization.meta

Element `Immunization.meta` is mapped to FHIR R4B 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

Element `Immunization.implicitRules` is mapped to FHIR R4B 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. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

Immunization.language

language

is equivalent to

Immunization.language

Element `Immunization.language` is mapped to FHIR R4B 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

maps to wider concept

Immunization.text

Element `Immunization.text` is mapped to FHIR R4B 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. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.

Immunization.contained

contained

is equivalent to

Immunization.contained

Element `Immunization.contained` is mapped to FHIR R4B 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

maps to wider concept

Immunization.identifier

Element `Immunization.identifier` is mapped to FHIR R4B 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 equivalent to

Immunization.status

Element `Immunization.status` is mapped to FHIR R4B element `Immunization.status` as `SourceIsNarrowerThanTarget`. The mappings for `Immunization.status` do not allow expression of the necessary codes, per the bindings on the source and target. Will generally be set to show that the immunization has been completed. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

Immunization.notGiven

notGiven

is related to

Immunization.status

Element `Immunization.notGiven` is mapped to FHIR R4B element `Immunization.status` as `SourceIsBroaderThanTarget`. Element `Immunization.notGiven` is mapped to FHIR R4B element `Immunization.statusReason` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.notGiven` do not cover the following types: boolean. The mappings for `Immunization.notGiven` do not cover the following types based on type expansion: value. This element is labeled as a modifier because it indicates that an immunization didn't happen.

is related to

Immunization.statusReason

Immunization.vaccineCode

vaccineCode

is equivalent to

Immunization.vaccineCode

Element `Immunization.vaccineCode` is mapped to FHIR R4B element `Immunization.vaccineCode` as `Equivalent`.

Immunization.patient

patient

maps to wider concept

Immunization.patient

Element `Immunization.patient` is mapped to FHIR R4B element `Immunization.patient` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.patient` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Immunization.patient` with unmapped reference targets: Patient.

Immunization.encounter

encounter

maps to wider concept

Immunization.encounter

Element `Immunization.encounter` is mapped to FHIR R4B element `Immunization.encounter` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.encounter` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Immunization.encounter` with unmapped reference targets: Encounter.

Immunization.date

date

is equivalent to

Immunization.occurrence[x]

Element `Immunization.date` is mapped to FHIR R4B 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.primarySource

primarySource

is equivalent to

Immunization.primarySource

Element `Immunization.primarySource` is mapped to FHIR R4B element `Immunization.primarySource` as `Equivalent`. Reflects the “reliability” of the content.

Immunization.reportOrigin

reportOrigin

is equivalent to

Immunization.reportOrigin

Element `Immunization.reportOrigin` is mapped to FHIR R4B element `Immunization.reportOrigin` as `Equivalent`. Should not be populated if primarySource = True, will not be required even if primarySource = False.

Immunization.location

location

maps to wider concept

Immunization.location

Element `Immunization.location` is mapped to FHIR R4B element `Immunization.location` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.location` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Immunization.location` with unmapped reference targets: Location.

Immunization.manufacturer

manufacturer

maps to wider concept

Immunization.manufacturer

Element `Immunization.manufacturer` is mapped to FHIR R4B element `Immunization.manufacturer` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.manufacturer` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Immunization.manufacturer` with unmapped reference targets: Organization.

Immunization.lotNumber

lotNumber

is equivalent to

Immunization.lotNumber

Element `Immunization.lotNumber` is mapped to FHIR R4B element `Immunization.lotNumber` as `Equivalent`.

Immunization.expirationDate

expirationDate

is equivalent to

Immunization.expirationDate

Element `Immunization.expirationDate` is mapped to FHIR R4B element `Immunization.expirationDate` as `Equivalent`.

Immunization.site

site

is equivalent to

Immunization.site

Element `Immunization.site` is mapped to FHIR R4B element `Immunization.site` as `Equivalent`.

Immunization.route

route

is equivalent to

Immunization.route

Element `Immunization.route` is mapped to FHIR R4B element `Immunization.route` as `Equivalent`.

Immunization.doseQuantity

doseQuantity

is equivalent to

Immunization.doseQuantity

Element `Immunization.doseQuantity` is mapped to FHIR R4B element `Immunization.doseQuantity` as `Equivalent`.

Immunization.practitioner

practitioner

maps to wider concept

Immunization.performer

Element `Immunization.practitioner` is mapped to FHIR R4B element `Immunization.performer` as `Equivalent`.

Immunization.practitioner.role

role

is equivalent to

Immunization.performer.function

Element `Immunization.practitioner.role` is mapped to FHIR R4B element `Immunization.performer.function` as `Equivalent`.

Immunization.practitioner.actor

actor

maps to wider concept

Immunization.performer.actor

Element `Immunization.practitioner.actor` is mapped to FHIR R4B element `Immunization.performer.actor` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.practitioner.actor` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Immunization.practitioner.actor` with unmapped reference targets: Practitioner.

Immunization.note

note

maps to wider concept

Immunization.note

Element `Immunization.note` is mapped to FHIR R4B 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

Element `Immunization.explanation` is mapped to FHIR R4B element `Immunization` as `SourceIsNarrowerThanTarget`.

Immunization.explanation.reason

reason

narrower

Immunization.reasonCode

Element `Immunization.explanation.reason` is mapped to FHIR R4B element `Immunization.reasonCode` as `SourceIsNarrowerThanTarget`.

Immunization.explanation.reasonNotGiven

reasonNotGiven

narrower

Immunization.reasonCode

Element `Immunization.explanation.reasonNotGiven` is mapped to FHIR R4B element `Immunization.reasonCode` as `SourceIsNarrowerThanTarget`.

Immunization.reaction

reaction

maps to wider concept

Immunization.reaction

Element `Immunization.reaction` is mapped to FHIR R4B 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/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

Element `Immunization.reaction.date` is mapped to FHIR R4B element `Immunization.reaction.date` as `Equivalent`.

Immunization.reaction.detail

detail

maps to wider concept

Immunization.reaction.detail

Element `Immunization.reaction.detail` is mapped to FHIR R4B element `Immunization.reaction.detail` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.reaction.detail` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Immunization.reaction.detail` with unmapped reference targets: Observation.

Immunization.reaction.reported

reported

is equivalent to

Immunization.reaction.reported

Element `Immunization.reaction.reported` is mapped to FHIR R4B element `Immunization.reaction.reported` as `Equivalent`.

Immunization.vaccinationProtocol

vaccinationProtocol

maps to wider concept

Immunization.protocolApplied

Element `Immunization.vaccinationProtocol` is mapped to FHIR R4B element `Immunization.protocolApplied` as `Equivalent`.

Immunization.vaccinationProtocol.doseSequence

doseSequence

is equivalent to

Immunization.protocolApplied.doseNumber[x]

Element `Immunization.vaccinationProtocol.doseSequence` is mapped to FHIR R4B element `Immunization.protocolApplied.doseNumber[x]` as `Equivalent`. The target context `Immunization.protocolApplied.doseNumber[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Immunization.protocolApplied`.

Immunization.vaccinationProtocol.authority

authority

maps to wider concept

Immunization.protocolApplied.authority

Element `Immunization.vaccinationProtocol.authority` is mapped to FHIR R4B element `Immunization.protocolApplied.authority` as `SourceIsBroaderThanTarget`. The mappings for `Immunization.vaccinationProtocol.authority` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Immunization.vaccinationProtocol.authority` with unmapped reference targets: Organization.

Immunization.vaccinationProtocol.series

series

is equivalent to

Immunization.protocolApplied.series

Element `Immunization.vaccinationProtocol.series` is mapped to FHIR R4B element `Immunization.protocolApplied.series` as `Equivalent`.

Immunization.vaccinationProtocol.seriesDoses

seriesDoses

is equivalent to

Immunization.protocolApplied.seriesDoses[x]

Element `Immunization.vaccinationProtocol.seriesDoses` is mapped to FHIR R4B element `Immunization.protocolApplied.seriesDoses[x]` as `Equivalent`. The target context `Immunization.protocolApplied.seriesDoses[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Immunization.protocolApplied`.

Immunization.vaccinationProtocol.targetDisease

targetDisease

is equivalent to

Immunization.protocolApplied.targetDisease

Element `Immunization.vaccinationProtocol.targetDisease` is mapped to FHIR R4B element `Immunization.protocolApplied.targetDisease` as `Equivalent`.

Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/Immunization|3.0.2 to STU3: meta additional typesversion: 0.1.0)

Source Code

Relationship

Target Code

Comment

Immunization.meta (meta)

is equivalent to

Extension (STU3: meta additional types)

Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/Immunization|3.0.2 to STU3: text additional typesversion: 0.1.0)

Source Code

Relationship

Target Code

Comment

Immunization.text (text)

is equivalent to

Extension (STU3: text additional types)

Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/Immunization|3.0.2 to STU3: identifier additional typesversion: 0.1.0)

Source Code

Relationship

Target Code

Comment

Immunization.identifier (identifier)

is equivalent to

Extension (STU3: identifier additional types)

Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/Immunization|3.0.2 to STU3: Flag for whether immunization was given additional typesversion: 0.1.0)

Source Code

Relationship

Target Code

Comment

Immunization.notGiven (notGiven)

maps to wider concept

Extension (STU3: Flag for whether immunization was given additional types)

Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/Immunization|3.0.2 to STU3: Vaccination notes additional typesversion: 0.1.0)

Source Code

Relationship

Target Code

Comment

Immunization.note (note)

is equivalent to

Extension (STU3: Vaccination notes additional types)

Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/Immunization|3.0.2 to STU3: Details of vaccine protocol (new)version: 0.1.0)

Source Code

Relationship

Target Code

Comment

Immunization.vaccinationProtocol.description (description)

is equivalent to

Extension (STU3: 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 R4B. Typically, this is because the element has been added (is a new element).

Group 8 Mapping from http://hl7.org/fhir/StructureDefinition/Immunization|3.0.2 to STU3: 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 (STU3: 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 R4B. 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 9 Mapping from http://hl7.org/fhir/StructureDefinition/Immunization|3.0.2 to STU3: Why dose does (not) count (new)version: 0.1.0)

Source Code

Relationship

Target Code

Comment

Immunization.vaccinationProtocol.doseStatusReason (doseStatusReason)

is equivalent to

Extension (STU3: 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 R4B. Typically, this is because the element has been added (is a new element).