Da Vinci Payer Data Exchange
2.1.1 - STU 2.1

Da Vinci Payer Data Exchange, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-epdx/ and changes regularly. See the Directory of published versions

## US Core Immunization

Page standards status: Informative

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Where a Health Plan has access to structured and coded Immunization information for a member, the health plan SHALL present the information using the US Core 3.1.1 Immunization or US Core 6.1.0 Immunization resource when information is available in a structured and coded form.

The essential fields (Must Support or Cardinality greater than 0..*) to be provided in the US Core 3.1.1 Immunization or US Core 6.1.0 Immunization resource are:

R4 Element | Name | Cardinality | Type
--- | --- | --- | ---
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 |
Immunization.primarySource | primarySource | 1..1 | boolean
Immunization.performer.actor | actor | 1..1 | Reference(Practitioner | PractitionerRole | Organization)
Immunization.protocolApplied.doseNumber[x] | doseNumber[x] | 1..1 |

Table Definition

#### 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 Detailsid: imm-1meta: status: completedvaccineCode: 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 AMprimarySource: 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
    }

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