WHO Antenatal Care Guideline Implementation Guide, published by World Health Organization (WHO). This guide is not an authorized publication; it is the continuous build for version 0.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/costateixeira/smart-anc/ and changes regularly. See the Directory of published versions

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Resource Profile: TetanustoxoidTT3Immunization - Mappings

Draft as of 2024-09-10

Mappings for the tetanus-toxoid-tt-3-immunization resource profile.

Mappings for Digital Adaptation Kit for Antenatal Care (https://www.who.int/publications/i/item/9789240020306)

TetanustoxoidTT3Immunization
Immunization
vaccineCode	ANC.B10.DE169
occurrence[x]	ANC.B10.DE170

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

TetanustoxoidTT3Immunization
Immunization	Event
extension (basedOn)	Event.basedOn
identifier	Event.identifier
status	Event.status
statusReason	Event.statusReason
vaccineCode	Event.code
patient	Event.subject
encounter	Event.context
occurrence[x]	Event.occurrence[x]
location	Event.location
performer	Event.performer
function	Event.performer.function
actor	Event.performer.actor
note	Event.note
reasonCode	Event.reasonCode
reasonReference	Event.reasonReference

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

TetanustoxoidTT3Immunization
Immunization	VXU_V04
extension (basedOn)	ORC in proximity to EVN segment
identifier
use	N/A
type	CX.5
system	CX.4 / EI-2-4
value	CX.1 / EI.1
period	CX.7 + CX.8
assigner	CX.4 / (CX.4,CX.9,CX.10)
vaccineCode	RXA-5
patient	PID-3
encounter	PV1-19
occurrence[x]	RXA-3
primarySource	RXA-9
reportOrigin	RXA-9
location	RXA-27 (or RXA-11, deprecated as of v2.7)
manufacturer	RXA-17
lotNumber	RXA-15
expirationDate	RXA-16
site	RXR-2
route	RXR-1
doseQuantity	RXA-6 / RXA-7
performer	ORC-12 / RXA-10
note	OBX-5 : OBX-3 = 48767-8
isSubpotent	RXA-20 = PA (partial administration)
education
documentType	OBX-5 : OBX-3 = 69764-9
publicationDate	OBX-5 : OBX-3 = 29768-9
presentationDate	OBX-5 : OBX-3 = 29769-7
programEligibility	OBX-5 : OBX-3 = 64994-7
reaction	OBX-3
date	OBX-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)
detail	OBX-5
reported	(HL7 v2 doesn't seem to provide for this)

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

TetanustoxoidTT3Immunization
Immunization	Entity. Role, or Act, SubstanceAdministration
text	Act.text?
contained	N/A
extension (basedOn)	.outboundRelationship[typeCode=FLFS].target
modifierExtension	N/A
identifier	.id
id	n/a
extension	n/a
use	Role.code or implied by context
type	Role.code or implied by context
system	II.root or Role.id.root
value	II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
period	Role.effectiveTime or implied by context
assigner	II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
status	statusCode
statusReason	.inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde
vaccineCode	.code
patient	.partipication[ttypeCode=].role
encounter	component->EncounterEvent
occurrence[x]	.effectiveTime
recorded	.participation[typeCode=AUT].time
primarySource	immunization.uncertaintycode (if primary source=false, uncertainty=U)
reportOrigin	.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
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
site	observation.targetSiteCode
route	.routeCode
doseQuantity	.doseQuantity
performer	.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
id	n/a
extension	n/a
modifierExtension	N/A
function	.participation.functionCode
actor	.player
note	note
reasonCode	[actionNegationInd=false].reasonCode
reasonReference	N/A
isSubpotent	N/A
subpotentReason	N/A
education	N/A
id	n/a
extension	n/a
modifierExtension	N/A
documentType	N/A
reference	N/A
publicationDate	N/A
presentationDate	N/A
programEligibility	N/A
fundingSource	N/A
reaction	Observation[classCode=obs].code
id	n/a
extension	n/a
modifierExtension	N/A
date	.effectiveTime
detail	.value
reported	.participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)
protocolApplied	N/A
id	n/a
extension	n/a
modifierExtension	N/A
series	N/A
authority	N/A
targetDisease	N/A
doseNumber[x]	N/A
seriesDoses[x]	N/A

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

TetanustoxoidTT3Immunization
Immunization
identifier	FiveWs.identifier
status	FiveWs.status
vaccineCode	FiveWs.what[x]
patient	FiveWs.subject[x], FiveWs.subject
encounter	FiveWs.context
occurrence[x]	FiveWs.done[x]
recorded	FiveWs.recorded
primarySource	FiveWs.source
reportOrigin	FiveWs.source
location	FiveWs.where[x]
performer
actor	FiveWs.actor

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

TetanustoxoidTT3Immunization
Immunization
identifier	ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/id
vaccineCode	ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/realmCode/code
occurrence[x]	ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/effectiveTime/value
manufacturer	ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacuturerOrganization/name
lotNumber	ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/lotNumberText
site	ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/approachSiteCode/code
route	ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/routeCode/code