Vaccination CDS Implementation Guide
0.1.0 - ci-build

Vaccination CDS Implementation Guide, published by Euvabeco. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/EUVABECO/VCDS/ and changes regularly. See the Directory of published versions

Resource Profile: Immunization - Mappings

Draft as of 2024-11-26

Mappings for the Immunization resource profile.

Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

Immunization
ImmunizationEvent
   identifierEvent.identifier
   basedOnEvent.basedOn
   statusEvent.status
   statusReasonEvent.statusReason
   vaccineCodeEvent.code
   administeredProductEvent.code
   patientEvent.subject
   encounterEvent.encounter
   occurrence[x]Event.occurrence[x]
   primarySourceEvent.reported
   informationSourceEvent.reported
   locationEvent.location
   performerEvent.performer
      functionEvent.performer.function
      actorEvent.performer.actor
   noteEvent.note
   reasonEvent.reason

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

Immunization
Immunizationclinical.medication
   identifierFiveWs.identifier
   statusFiveWs.status
   vaccineCodeFiveWs.what[x]
   administeredProductFiveWs.what[x]
   patientFiveWs.subject[x]
   encounterFiveWs.context
   supportingInformationFiveWs.context
   occurrence[x]FiveWs.done[x]
   primarySourceFiveWs.source
   informationSourceFiveWs.source
   locationFiveWs.where[x]
   performer
      actorFiveWs.actor

Mappings for HL7 V2 Mapping (http://hl7.org/v2)

Immunization
ImmunizationVXU_V04
   vaccineCodeRXA-5
   administeredProductRXA-5
   manufacturerRXA-17
   lotNumberRXA-15
   expirationDateRXA-16
   patientPID-3
   encounterPV1-19
   occurrence[x]RXA-3
   primarySourceRXA-9
   informationSourceRXA-9
   locationRXA-27 (or RXA-11, deprecated as of v2.7)
   siteRXR-2
   routeRXR-1
   doseQuantityRXA-6 / RXA-7
   performerORC-12 / RXA-10
   noteOBX-5 : OBX-3 = 48767-8
   isSubpotentRXA-20 = PA (partial administration)
   programEligibilityOBX-5 : OBX-3 = 64994-7
   reactionOBX-3
      dateOBX-14 (ideally this would be reported in an IAM segment, but IAM is not part of the HL7 V2 VXU message - most likely would appear in OBX segments if at all)
      manifestationOBX-5
      reported(HL7 V2 doesn't seem to provide for this)

Mappings for RIM Mapping (http://hl7.org/v3)

Immunization
ImmunizationEntity, Role, or Act,SubstanceAdministration
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifier.id
   basedOnN/A
   statusstatusCode
   statusReason.inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde
   vaccineCode.code
   administeredProduct.code
   manufacturer.participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=ORG]
   lotNumber.participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].id
   expirationDate.participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime
   patient.partipication[ttypeCode=].role
   encountercomponent->EncounterEvent
   occurrence[x].effectiveTime
   primarySourceimmunization.uncertaintycode (if primary source=false, uncertainty=U)
   informationSource.participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported) .participation[typeCode=INF].role[classCode=LIC] (this syntax for health care professional) .participation[typeCode=INF].role[classCode=PRS] (this syntax for family member)
   location.participation[typeCode=LOC].COCT_MT240000UV
   siteobservation.targetSiteCode
   route.routeCode
   doseQuantity.doseQuantity
   performer.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
      idn/a
      extensionn/a
      modifierExtensionN/A
      function.participation.functionCode
      actor.player
   notenote
   reason[actionNegationInd=false].reasonCode
   isSubpotentN/A
   subpotentReasonN/A
   programEligibilityn/a
      idn/a
      extensionn/a
      modifierExtensionN/A
      programn/a
      programStatusn/a
   fundingSourceN/A
   reactionObservation[classCode=obs].code
      idn/a
      extensionn/a
      modifierExtensionN/A
      date.effectiveTime
      manifestation.value
      reported.participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)
   protocolAppliedN/A
      idn/a
      extensionn/a
      modifierExtensionN/A
      seriesN/A
      authorityN/A
      targetDiseaseN/A
      doseNumberN/A
      seriesDosesN/A

Mappings for CDA (R2) (http://hl7.org/v3/cda)

Immunization
Immunization
   identifierClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/id
   vaccineCodeClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/realmCode/code
   administeredProductClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/realmCode/code
   manufacturerClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacuturerOrganization/name
   lotNumberClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/lotNumberText
   occurrence[x]ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/effectiveTime/value
   siteClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/approachSiteCode/code
   routeClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/routeCode/code