DSTU2
This
page
is
part
of
the
FHIR
Specification
(v0.0.82:
(v1.0.2:
DSTU
1).
2).
The
current
version
which
supercedes
this
version
is
5.0.0
.
For
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full
list
of
available
versions,
see
the
Directory
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versions:
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R4B
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R3
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Profile
StructureDefinition
for
immunization
{
"resourceType": "Profile",
"resourceType": "StructureDefinition",
"id": "Immunization",
"meta": {
"lastUpdated": "2015-10-24T07:41:03.495+11:00"
},
"text": {
"status": "generated",
"div": "<div><pre>\r\n<<a title=\"Immunization event information.\" class=\"dict\" href=\"immunization-definitions.html#Immunization\"><b>Immunization</b></a> xmlns="http://hl7.org/fhir"> <span style=\"float: right\"><a title=\"Documentation for this format\" href=\"formats.html\"><img alt=\"doco\" src=\"help.png\"/></a></span>\r\n <!-- from <a href=\"resources.html\">Resource</a>: <a href=\"extensibility.html\">extension</a>, <a href=\"extensibility.html#modifierExtension\">modifierExtension</a>, language, <a href=\"narrative.html#Narrative\">text</a>, and <a href=\"references.html#contained\">contained</a> -->\r\n <<a title=\"A unique identifier assigned to this adverse reaction record.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.identifier\"><b>identifier</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#Identifier\">Identifier</a></span> <span style=\"color: navy\">Business identifier</span><span style=\"color: Gray\"> --></span></identifier>\r\n <<a title=\"Date vaccine administered or was to be administered.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.date\"><b>date</b></a> value="[<span style=\"color: darkgreen\"><a href=\"datatypes.html#dateTime\">dateTime</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: navy\">Vaccination administration date</span><span style=\"color: Gray\"> --></span>\r\n <<a title=\"Vaccine that was administered or was to be administered.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.vaccineType\"><b>vaccineType</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#CodeableConcept\">CodeableConcept</a></span> <a style=\"color: navy\" href=\"v3/vs/VaccineType/index.html\">Vaccine product administered</a><span style=\"color: Gray\"> --></span></vaccineType>\r\n <<a title=\"The patient to whom the vaccine was to be administered.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.subject\"><b>subject</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: darkgreen\"><a href=\"references.html#Resource\">Resource</a>(<a href=\"patient.html#Patient\">Patient</a>)</span> <span style=\"color: navy\">Who was immunized?</span><span style=\"color: Gray\"> --></span></subject>\r\n <<a title=\"Indicates if the vaccination was refused.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.refusedIndicator\"><b>refusedIndicator</b></a> value="[<span style=\"color: darkgreen\"><a href=\"datatypes.html#boolean\">boolean</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: navy\">Was immunization refused?</span><span style=\"color: Gray\"> --></span>\r\n <<a title=\"True if this administration was reported rather than directly administered.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.reported\"><b>reported</b></a> value="[<span style=\"color: darkgreen\"><a href=\"datatypes.html#boolean\">boolean</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: navy\">Is this a self-reported record?</span><span style=\"color: Gray\"> --></span>\r\n <<a title=\"Clinician who administered the vaccine.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.performer\"><b>performer</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"references.html#Resource\">Resource</a>(<a href=\"practitioner.html#Practitioner\">Practitioner</a>)</span> <span style=\"color: navy\">Who administered vaccine?</span><span style=\"color: Gray\"> --></span></performer>\r\n <<a title=\"Clinician who ordered the vaccination.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.requester\"><b>requester</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"references.html#Resource\">Resource</a>(<a href=\"practitioner.html#Practitioner\">Practitioner</a>)</span> <span style=\"color: navy\">Who ordered vaccination?</span><span style=\"color: Gray\"> --></span></requester>\r\n <<a title=\"Name of vaccine manufacturer.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.manufacturer\"><b>manufacturer</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"references.html#Resource\">Resource</a>(<a href=\"organization.html#Organization\">Organization</a>)</span> <span style=\"color: navy\">Vaccine manufacturer</span><span style=\"color: Gray\"> --></span></manufacturer>\r\n <<a title=\"The service delivery location where the vaccine administration occurred.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.location\"><b>location</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"references.html#Resource\">Resource</a>(<a href=\"location.html#Location\">Location</a>)</span> <span style=\"color: navy\">Where did vaccination occur?</span><span style=\"color: Gray\"> --></span></location>\r\n <<a title=\"Lot number of the vaccine product.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.lotNumber\"><b>lotNumber</b></a> value="[<span style=\"color: darkgreen\"><a href=\"datatypes.html#string\">string</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\">Vaccine lot number</span><span style=\"color: Gray\"> --></span>\r\n <<a title=\"Date vaccine batch expires.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.expirationDate\"><b>expirationDate</b></a> value="[<span style=\"color: darkgreen\"><a href=\"datatypes.html#date\">date</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\">Vaccine expiration date</span><span style=\"color: Gray\"> --></span>\r\n <<a title=\"Body site where vaccine was administered.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.site\"><b>site</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-immunization-site.html\">Body site vaccine was administered</a></span><span style=\"color: Gray\"> --></span></site>\r\n <<a title=\"The path by which the vaccine product is taken into the body.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.route\"><b>route</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-immunization-route.html\">How vaccine entered body</a></span><span style=\"color: Gray\"> --></span></route>\r\n <<a title=\"The quantity of vaccine product that was administered.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.doseQuantity\"><b>doseQuantity</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#Quantity\">Quantity</a></span> <span style=\"color: navy\">Amount of vaccine administered</span><span style=\"color: Gray\"> --></span></doseQuantity>\r\n <<a title=\"Reasons why a vaccine was administered or refused.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.explanation\"><b>explanation</b></a>> <span style=\"color: Gray\"><!-- <span style=\"color: brown\"><b>0..1</b></span> Administration / refusal reasons --></span>\r\n <<a title=\"Reasons why a vaccine was administered.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.explanation.reason\"><b>reason</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-immunization-reason.html\">Why immunization occurred</a></span><span style=\"color: Gray\"> --></span></reason>\r\n <<a title=\"Refusal or exemption reasons.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.explanation.refusalReason\"><b>refusalReason</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-no-immunization-reason.html\">Why immunization did not occur</a></span><span style=\"color: Gray\"> --></span></refusalReason>\r\n </explanation>\r\n <<a title=\"Categorical data indicating that an adverse event is associated in time to an immunization.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.reaction\"><b>reaction</b></a>> <span style=\"color: Gray\"><!-- <span style=\"color: brown\"><b>0..*</b></span> Details of a reaction that follows immunization --></span>\r\n <<a title=\"Date of reaction to the immunization.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.reaction.date\"><b>date</b></a> value="[<span style=\"color: darkgreen\"><a href=\"datatypes.html#dateTime\">dateTime</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\">When did reaction start?</span><span style=\"color: Gray\"> --></span>\r\n <<a title=\"Details of the reaction.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.reaction.detail\"><b>detail</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"references.html#Resource\">Resource</a>(<a href=\"adversereaction.html#AdverseReaction\">AdverseReaction</a>|<a href=\"observation.html#Observation\">Observation</a>)</span> <span style=\"color: navy\">Additional information on reaction</span><span style=\"color: Gray\"> --></span></detail>\r\n <<a title=\"Self-reported indicator.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.reaction.reported\"><b>reported</b></a> value="[<span style=\"color: darkgreen\"><a href=\"datatypes.html#boolean\">boolean</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\">Was reaction self-reported?</span><span style=\"color: Gray\"> --></span>\r\n </reaction>\r\n <<a title=\"Contains information about the protocol(s) under which the vaccine was administered.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.vaccinationProtocol\"><b>vaccinationProtocol</b></a>> <span style=\"color: Gray\"><!-- <span style=\"color: brown\"><b>0..*</b></span> What protocol was followed --></span>\r\n <<a title=\"Nominal position in a series.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.vaccinationProtocol.doseSequence\"><b>doseSequence</b></a> value="[<span style=\"color: darkgreen\"><a href=\"datatypes.html#integer\">integer</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: navy\">What dose number within series?</span><span style=\"color: Gray\"> --></span>\r\n <<a title=\"Contains the description about the protocol under which the vaccine was administered.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.vaccinationProtocol.description\"><b>description</b></a> value="[<span style=\"color: darkgreen\"><a href=\"datatypes.html#string\">string</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\">Details of vaccine protocol</span><span style=\"color: Gray\"> --></span>\r\n <<a title=\"Indicates the authority who published the protocol? E.g. ACIP.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.vaccinationProtocol.authority\"><b>authority</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"references.html#Resource\">Resource</a>(<a href=\"organization.html#Organization\">Organization</a>)</span> <span style=\"color: navy\">Who is responsible for protocol</span><span style=\"color: Gray\"> --></span></authority>\r\n <<a title=\"One possible path to achieve presumed immunity against a disease - within the context of an authority.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.vaccinationProtocol.series\"><b>series</b></a> value="[<span style=\"color: darkgreen\"><a href=\"datatypes.html#string\">string</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\">Name of vaccine series</span><span style=\"color: Gray\"> --></span>\r\n <<a title=\"The recommended number of doses to achieve immunity.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.vaccinationProtocol.seriesDoses\"><b>seriesDoses</b></a> value="[<span style=\"color: darkgreen\"><a href=\"datatypes.html#integer\">integer</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\">Recommended number of doses for immunity</span><span style=\"color: Gray\"> --></span>\r\n <<a title=\"The targeted disease.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.vaccinationProtocol.doseTarget\"><b>doseTarget</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-vaccination-protocol-dose-target.html\">Disease immunized against</a></span><span style=\"color: Gray\"> --></span></doseTarget>\r\n <<a title=\"Indicates if the immunization event should "count" against the protocol.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.vaccinationProtocol.doseStatus\"><b>doseStatus</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-vaccination-protocol-dose-status.html\">Does dose count towards immunity?</a></span><span style=\"color: Gray\"> --></span></doseStatus>\r\n <<a title=\"Provides an explanation as to why a immunization event should or should not count against the protocol.\" class=\"dict\" href=\"immunization-definitions.html#Immunization.vaccinationProtocol.doseStatusReason\"><b>doseStatusReason</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-vaccination-protocol-dose-status-reason.html\">Why does does count/not count?</a></span><span style=\"color: Gray\"> --></span></doseStatusReason>\r\n </vaccinationProtocol>\r\n</Immunization>\r\n</pre></div>"
"div": "<div>!-- Snipped for Brevity --></div>"
},
"name": "immunization",
"publisher": "FHIR Project",
"description": "Basic Profile. Immunization event information.",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 1
}
],
"url": "http://hl7.org/fhir/StructureDefinition/Immunization",
"name": "Immunization",
"status": "draft",
"date": "2014-09-30",
"requirements": "Scope and Usage The immunization resource is intended to cover the administration of vaccines to patients across all healthcare disciplines in all care settings and all regions. This includes immunization of both humans and animals but does not include the administration of non-vaccine agents, even those that may have or claim immunological effects. \r\n\r\nAdditionally, the immunization resource is expected to cover key concepts related to the creation, revision and querying of a patient's immunization history. This resource - through consultation with the PHER work group - is believed to meet key use cases and information requirements as defined in the existing HL7 v2.x immunization implementation guide, HL7 v3 POIZ domain and Immunization Domain Analysis Model.",
"publisher": "Health Level Seven International (Public Health and Emergency Response)",
"contact": [
{
"telecom": [
{
"system": "other",
"value": "http://hl7.org/fhir"
}
]
},
{
"telecom": [
{
"system": "other",
"value": "http://www.hl7.org/Special/committees/pher/index.cfm"
}
]
}
],
"date": "2015-10-24T07:41:03+11:00",
"description": "Base StructureDefinition for Immunization Resource",
"fhirVersion": "1.0.2",
"mapping": [
{
"identity": "v2",
"uri": "http://hl7.org/v2",
"name": "HL7 v2"
},
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM"
},
{
"identity": "v2",
"uri": "http://hl7.org/v2",
"name": "HL7 v2"
"identity": "w5",
"uri": "http://hl7.org/fhir/w5",
"name": "W5 Mapping"
},
{
"identity": "cda",
"uri": "http://hl7.org/v3/cda",
"name": "CDA (R2)"
}
],
"structure": [
{
"type": "Immunization",
"publish": true,
"element": [
{
"path": "Immunization",
"definition": {
"short": "Immunization event information",
"formal": "Immunization event information.",
"min": 1,
"max": "1",
"type": [
{
"code": "Resource"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "SubstanceAdministration"
},
{
"identity": "v2",
"map": "VXU_V04"
}
]
"kind": "resource",
"abstract": false,
"base": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"snapshot": {
"element": [
{
"path": "Immunization",
"short": "Immunization event information",
"definition": "Describes the event of a patient being administered a vaccination or a record of a vaccination as reported by a patient, a clinician or another party and may include vaccine reaction information and what vaccination protocol was followed.",
"min": 0,
"max": "*",
"type": [
{
"code": "DomainResource"
}
},
{
"path": "Immunization.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
],
"constraint": [
{
"key": "imm-2",
"severity": "error",
"human": "If immunization was administered (wasNotGiven=false) then explanation.reasonNotGiven SHALL be absent.",
"xpath": "not(f:wasNotGiven/@value=false() and exists(f:explanation/f:reasonNotGiven))"
},
{
"key": "imm-1",
"severity": "error",
"human": "If immunization was not administred (wasNotGiven=true) then there SHALL be no reaction nor explanation.reason present",
"xpath": "not(f:wasNotGiven/@value=true() and (count(f:reaction) > 0 or exists(f:explanation/f:reason)))"
}
},
{
"path": "Immunization.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
],
"mapping": [
{
"identity": "v2",
"map": "VXU_V04"
},
{
"identity": "rim",
"map": "SubstanceAdministration"
},
{
"identity": "w5",
"map": "clinical.medication"
}
},
{
"path": "Immunization.text",
"definition": {
"short": "Text summary of the resource, for human interpretation",
"formal": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.",
"synonym": [
"narrative",
"html",
"xhtml",
"display"
],
"min": 0,
"max": "1",
"type": [
{
"code": "Narrative"
}
],
"isModifier": false
]
},
{
"path": "Immunization.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comments": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Bundles always have an id, though it is usually a generated UUID.",
"min": 0,
"max": "1",
"type": [
{
"code": "id"
}
},
{
"path": "Immunization.contained",
"definition": {
"short": "Contained, inline Resources",
"formal": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comments": "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.",
"synonym": [
"inline resources",
"anonymous resources",
"contained resources"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Resource"
}
],
"isModifier": false
],
"isSummary": true
},
{
"path": "Immunization.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"type": [
{
"code": "Meta"
}
},
{
"path": "Immunization.identifier",
"definition": {
"short": "Business identifier",
"formal": "A unique identifier assigned to this adverse reaction record.",
"min": 0,
"max": "*",
"type": [
{
"code": "Identifier"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".id"
},
{
"identity": "cda",
"map": "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/id"
}
]
],
"isSummary": true
},
{
"path": "Immunization.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
"comments": "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.",
"min": 0,
"max": "1",
"type": [
{
"code": "uri"
}
},
{
"path": "Immunization.date",
"definition": {
"short": "Vaccination administration date",
"formal": "Date vaccine administered or was to be administered.",
"min": 1,
"max": "1",
"type": [
{
"code": "dateTime"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".effectiveTime"
},
{
"identity": "cda",
"map": "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/effectiveTime/value"
},
{
"identity": "v2",
"map": "RXA-3-date/time start of administration"
}
]
],
"isModifier": true,
"isSummary": true
},
{
"path": "Immunization.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comments": "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).",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
},
{
"path": "Immunization.vaccineType",
"definition": {
"short": "Vaccine product administered",
"formal": "Vaccine that was administered or was to be administered.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "VaccineType",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/v3/vs/VaccineType"
}
},
"mapping": [
{
"identity": "rim",
"map": ".code"
},
{
"identity": "cda",
"map": "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/realmCode/code"
},
{
"identity": "v2",
"map": "RXA-5-administered code"
}
]
],
"binding": {
"strength": "required",
"description": "A human language.",
"valueSetUri": "http://tools.ietf.org/html/bcp47"
}
},
{
"path": "Immunization.text",
"short": "Text summary of the resource, for human interpretation",
"definition": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.",
"alias": [
"narrative",
"html",
"xhtml",
"display"
],
"min": 0,
"max": "1",
"type": [
{
"code": "Narrative"
}
},
{
"path": "Immunization.subject",
"definition": {
"short": "Who was immunized?",
"formal": "The patient to whom the vaccine was to be administered.",
"min": 1,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Patient"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".partipication[ttypeCode=].role"
},
{
"identity": "v2",
"map": "PID-3-patient ID list"
}
]
],
"condition": [
"dom-1"
],
"mapping": [
{
"identity": "rim",
"map": "Act.text?"
}
},
{
"path": "Immunization.refusedIndicator",
"definition": {
"short": "Was immunization refused?",
"formal": "Indicates if the vaccination was refused.",
"min": 1,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "[actionNegationInd=true].reasonCode"
}
]
]
},
{
"path": "Immunization.contained",
"short": "Contained, inline Resources",
"definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comments": "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.",
"alias": [
"inline resources",
"anonymous resources",
"contained resources"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Resource"
}
},
{
"path": "Immunization.reported",
"definition": {
"short": "Is this a self-reported record?",
"formal": "True if this administration was reported rather than directly administered.",
"comments": "May need source of reported info (e.g. parent), but leave out for now.",
"min": 1,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)"
},
{
"identity": "v2",
"map": "RXA-9"
}
]
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
},
{
"path": "Immunization.performer",
"definition": {
"short": "Who administered vaccine?",
"formal": "Clinician who administered the vaccine.",
"min": 0,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Practitioner"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".participation[typeCode=PRF].COCT_MT090102UV"
},
{
"identity": "cda",
"map": "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/performer/assignedEntity/assignedPerson/name"
},
{
"identity": "v2",
"map": "RXA-10-administering provider"
}
]
]
},
{
"path": "Immunization.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Immunization.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Immunization.identifier",
"short": "Business identifier",
"definition": "A unique identifier assigned to this immunization record.",
"min": 0,
"max": "*",
"type": [
{
"code": "Identifier"
}
],
"mapping": [
{
"identity": "cda",
"map": "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/id"
},
{
"identity": "rim",
"map": ".id"
},
{
"identity": "w5",
"map": "id"
}
]
},
{
"path": "Immunization.status",
"short": "in-progress | on-hold | completed | entered-in-error | stopped",
"definition": "Indicates the current status of the vaccination event.",
"comments": "Will generally be set to show that the immunization has been completed.",
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
],
"isModifier": true,
"isSummary": true,
"binding": {
"strength": "required",
"description": "A set of codes indicating the current status of an Immunization",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/medication-admin-status"
}
},
{
"path": "Immunization.requester",
"definition": {
"short": "Who ordered vaccination?",
"formal": "Clinician who ordered the vaccination.",
"comments": "Other participants - delegate to Provenance resource.",
"min": 0,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Practitioner"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "outboundRelationship.target[classCode=SBADM].participation[typeCode=AUT].COCT_MT090102UV"
},
{
"identity": "v2",
"map": "ORC-12-ordering provider"
}
]
"mapping": [
{
"identity": "rim",
"map": "statusCode"
},
{
"identity": "w5",
"map": "status"
}
]
},
{
"path": "Immunization.date",
"short": "Vaccination administration date",
"definition": "Date vaccine administered or was to be administered.",
"comments": "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.",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
}
],
"mapping": [
{
"identity": "cda",
"map": "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/effectiveTime/value"
},
{
"identity": "v2",
"map": "RXA-3"
},
{
"identity": "rim",
"map": ".effectiveTime"
},
{
"identity": "w5",
"map": "when.init"
}
]
},
{
"path": "Immunization.vaccineCode",
"short": "Vaccine product administered",
"definition": "Vaccine that was administered or was to be administered.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "The code for vaccine product administered",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/vaccine-code"
}
},
{
"path": "Immunization.manufacturer",
"definition": {
"short": "Vaccine manufacturer",
"formal": "Name of vaccine manufacturer.",
"min": 0,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Organization"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=ORG]"
},
{
"identity": "cda",
"map": "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacuturerOrganization/name"
},
{
"identity": "v2",
"map": "RXA-17-substance manufacturer name"
}
"mapping": [
{
"identity": "cda",
"map": "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/realmCode/code"
},
{
"identity": "v2",
"map": "RXA-5"
},
{
"identity": "rim",
"map": ".code"
},
{
"identity": "w5",
"map": "what"
}
]
},
{
"path": "Immunization.patient",
"short": "Who was immunized",
"definition": "The patient who either received or did not receive the immunization.",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Patient"
]
}
},
{
"path": "Immunization.location",
"definition": {
"short": "Where did vaccination occur?",
"formal": "The service delivery location where the vaccine administration occurred.",
"min": 0,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Location"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".participation[typeCode=LOC].COCT_MT240000UV"
},
{
"identity": "v2",
"map": "RXA-27-administered-at (or RXA-11-administered-at location, deprecated as of v2.7)"
}
],
"mapping": [
{
"identity": "v2",
"map": "PID-3"
},
{
"identity": "rim",
"map": ".partipication[ttypeCode=].role"
},
{
"identity": "w5",
"map": "who.focus"
}
]
},
{
"path": "Immunization.wasNotGiven",
"short": "Flag for whether immunization was given",
"definition": "Indicates if the vaccination was or was not given.",
"min": 1,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"isModifier": true,
"mapping": [
{
"identity": "rim",
"map": "[actionNegationInd=true].reasonCode"
},
{
"identity": "w5",
"map": "status"
}
]
},
{
"path": "Immunization.reported",
"short": "Indicates a self-reported record",
"definition": "True if this administration was reported rather than directly administered.",
"comments": "May need source of reported info (e.g. parent), but leave out for now.",
"min": 1,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"mapping": [
{
"identity": "v2",
"map": "RXA-9"
},
{
"identity": "rim",
"map": ".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)"
},
{
"identity": "w5",
"map": "who.source"
}
]
},
{
"path": "Immunization.performer",
"short": "Who administered vaccine",
"definition": "Clinician who administered the vaccine.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Practitioner"
]
}
},
{
"path": "Immunization.lotNumber",
"definition": {
"short": "Vaccine lot number",
"formal": "Lot number of the vaccine product.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].id"
},
{
"identity": "cda",
"map": "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/lotNumberText"
},
{
"identity": "v2",
"map": "RXA-15-substance lot number"
}
],
"mapping": [
{
"identity": "cda",
"map": "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/performer/assignedEntity/assignedPerson/name"
},
{
"identity": "v2",
"map": "RXA-10"
},
{
"identity": "rim",
"map": ".participation[typeCode=PRF].COCT_MT090102UV"
},
{
"identity": "w5",
"map": "who.actor"
}
]
},
{
"path": "Immunization.requester",
"short": "Who ordered vaccination",
"definition": "Clinician who ordered the vaccination.",
"comments": "Other participants - delegate to Provenance resource.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Practitioner"
]
}
},
{
"path": "Immunization.expirationDate",
"definition": {
"short": "Vaccine expiration date",
"formal": "Date vaccine batch expires.",
"min": 0,
"max": "1",
"type": [
{
"code": "date"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"
},
{
"identity": "v2",
"map": "RXA-16-substance expiration date"
}
],
"mapping": [
{
"identity": "v2",
"map": "ORC-12"
},
{
"identity": "rim",
"map": "outboundRelationship.target[classCode=SBADM].participation[typeCode=AUT].COCT_MT090102UV"
},
{
"identity": "w5",
"map": "who.cause"
}
]
},
{
"path": "Immunization.encounter",
"short": "Encounter administered as part of",
"definition": "The visit or admission or other contact between patient and health care provider the immunization was performed as part of.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Encounter"
]
}
},
{
"path": "Immunization.site",
"definition": {
"short": "Body site vaccine was administered",
"formal": "Body site where vaccine was administered.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "ImmunizationSite",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/immunization-site"
}
},
"mapping": [
{
"identity": "rim",
"map": "observation.targetSiteCode"
},
{
"identity": "cda",
"map": "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/approachSiteCode/code"
},
{
"identity": "v2",
"map": "RXR-2-administration site"
}
],
"mapping": [
{
"identity": "v2",
"map": "PV1-19"
},
{
"identity": "rim",
"map": "component->EncounterEvent"
},
{
"identity": "w5",
"map": "context"
}
]
},
{
"path": "Immunization.manufacturer",
"short": "Vaccine manufacturer",
"definition": "Name of vaccine manufacturer.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Organization"
]
}
},
{
"path": "Immunization.route",
"definition": {
"short": "How vaccine entered body",
"formal": "The path by which the vaccine product is taken into the body.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "ImmunizationRoute",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/immunization-route"
}
},
"mapping": [
{
"identity": "rim",
"map": ".routeCode"
},
{
"identity": "cda",
"map": "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/routeCode/code"
},
{
"identity": "v2",
"map": "RXR-1-route"
}
],
"mapping": [
{
"identity": "cda",
"map": "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacuturerOrganization/name"
},
{
"identity": "v2",
"map": "RXA-17"
},
{
"identity": "rim",
"map": ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=ORG]"
}
]
},
{
"path": "Immunization.location",
"short": "Where vaccination occurred",
"definition": "The service delivery location where the vaccine administration occurred.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Location"
]
}
],
"mapping": [
{
"identity": "v2",
"map": "RXA-27 (or RXA-11, deprecated as of v2.7)"
},
{
"identity": "rim",
"map": ".participation[typeCode=LOC].COCT_MT240000UV"
},
{
"identity": "w5",
"map": "where"
}
]
},
{
"path": "Immunization.lotNumber",
"short": "Vaccine lot number",
"definition": "Lot number of the vaccine product.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "cda",
"map": "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/lotNumberText"
},
{
"identity": "v2",
"map": "RXA-15"
},
{
"identity": "rim",
"map": ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].id"
}
]
},
{
"path": "Immunization.expirationDate",
"short": "Vaccine expiration date",
"definition": "Date vaccine batch expires.",
"min": 0,
"max": "1",
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "v2",
"map": "RXA-16"
},
{
"identity": "rim",
"map": ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"
}
]
},
{
"path": "Immunization.site",
"short": "Body site vaccine was administered",
"definition": "Body site where vaccine was administered.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "The site at which the vaccine was administered",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/immunization-site"
}
},
{
"path": "Immunization.doseQuantity",
"definition": {
"short": "Amount of vaccine administered",
"formal": "The quantity of vaccine product that was administered.",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".doseQuantity"
},
{
"identity": "v2",
"map": "RXA-6-administered amount / RXA-7.1-administered units.code"
}
]
"mapping": [
{
"identity": "cda",
"map": "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/approachSiteCode/code"
},
{
"identity": "v2",
"map": "RXR-2"
},
{
"identity": "rim",
"map": "observation.targetSiteCode"
}
]
},
{
"path": "Immunization.route",
"short": "How vaccine entered body",
"definition": "The path by which the vaccine product is taken into the body.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "The route by which the vaccine was administered",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/immunization-route"
}
},
{
"path": "Immunization.explanation",
"definition": {
"short": "Administration / refusal reasons",
"formal": "Reasons why a vaccine was administered or refused.",
"min": 0,
"max": "1",
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
"mapping": [
{
"identity": "cda",
"map": "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/routeCode/code"
},
{
"identity": "v2",
"map": "RXR-1"
},
{
"identity": "rim",
"map": ".routeCode"
}
]
},
{
"path": "Immunization.doseQuantity",
"short": "Amount of vaccine administered",
"definition": "The quantity of vaccine product that was administered.",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity",
"profile": [
"http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
]
}
},
{
"path": "Immunization.explanation.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
],
"mapping": [
{
"identity": "v2",
"map": "RXA-6 / RXA-7.1"
},
{
"identity": "rim",
"map": ".doseQuantity"
}
},
{
"path": "Immunization.explanation.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
]
},
{
"path": "Immunization.note",
"short": "Vaccination notes",
"definition": "Extra information about the immunization that is not conveyed by the other attributes.",
"min": 0,
"max": "*",
"type": [
{
"code": "Annotation"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "note"
}
]
},
{
"path": "Immunization.explanation",
"short": "Administration/non-administration reasons",
"definition": "Reasons why a vaccine was or was not administered.",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Immunization.explanation.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references).",
"min": 0,
"max": "1",
"type": [
{
"code": "id"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Immunization.explanation.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Immunization.explanation.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Immunization.explanation.reason",
"short": "Why immunization occurred",
"definition": "Reasons why a vaccine was administered.",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "The reason why a vaccine was administered",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/immunization-reason"
}
},
{
"path": "Immunization.explanation.reason",
"definition": {
"short": "Why immunization occurred",
"formal": "Reasons why a vaccine was administered.",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "ImmunizationReason",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/immunization-reason"
}
},
"mapping": [
{
"identity": "rim",
"map": "[actionNegationInd=false].reasonCode"
}
]
"mapping": [
{
"identity": "rim",
"map": "[actionNegationInd=false].reasonCode"
}
]
},
{
"path": "Immunization.explanation.reasonNotGiven",
"short": "Why immunization did not occur",
"definition": "Reason why a vaccine was not administered.",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "The reason why a vaccine was not administered",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/no-immunization-reason"
}
},
{
"path": "Immunization.explanation.refusalReason",
"definition": {
"short": "Why immunization did not occur",
"formal": "Refusal or exemption reasons.",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "NoImmunizationReason",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/no-immunization-reason"
}
},
"mapping": [
{
"identity": "rim",
"map": "[actionNegationInd=true].reasonCode"
},
{
"identity": "v2",
"map": "RXA-18"
}
"mapping": [
{
"identity": "v2",
"map": "RXA-18"
},
{
"identity": "rim",
"map": "[actionNegationInd=true].reasonCode"
}
]
},
{
"path": "Immunization.reaction",
"short": "Details of a reaction that follows immunization",
"definition": "Categorical data indicating that an adverse event is associated in time to an immunization.",
"comments": "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]]] resource instance as most systems will not query against past Immunization.reaction elements.",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "v2",
"map": "OBX-3"
},
{
"identity": "rim",
"map": "Observation[classCode=obs].code"
}
]
},
{
"path": "Immunization.reaction.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references).",
"min": 0,
"max": "1",
"type": [
{
"code": "id"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Immunization.reaction.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Immunization.reaction.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Immunization.reaction.date",
"short": "When reaction started",
"definition": "Date of reaction to the immunization.",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
}
],
"mapping": [
{
"identity": "v2",
"map": "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)"
},
{
"identity": "rim",
"map": ".effectiveTime"
}
]
},
{
"path": "Immunization.reaction.detail",
"short": "Additional information on reaction",
"definition": "Details of the reaction.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Observation"
]
}
},
{
"path": "Immunization.reaction",
"definition": {
"short": "Details of a reaction that follows immunization",
"formal": "Categorical data indicating that an adverse event is associated in time to an immunization.",
"min": 0,
"max": "*",
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "Observation[classCode=obs].code"
},
{
"identity": "v2",
"map": "OBX-3"
}
],
"mapping": [
{
"identity": "v2",
"map": "OBX-5"
},
{
"identity": "rim",
"map": ".value"
}
]
},
{
"path": "Immunization.reaction.reported",
"short": "Indicates self-reported reaction",
"definition": "Self-reported indicator.",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"mapping": [
{
"identity": "v2",
"map": "(no such concept seems to exist for allergy/adverse reaction in HL7 v2)"
},
{
"identity": "rim",
"map": ".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)"
}
]
},
{
"path": "Immunization.vaccinationProtocol",
"short": "What protocol was followed",
"definition": "Contains information about the protocol(s) under which the vaccine was administered.",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "v2",
"map": "(HL7 v2 doesn't seem to provide for this)"
},
{
"identity": "rim",
"map": "outboundRelationship[typeCode=INST].target[classCode=SBADM]"
}
]
},
{
"path": "Immunization.vaccinationProtocol.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references).",
"min": 0,
"max": "1",
"type": [
{
"code": "id"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Immunization.vaccinationProtocol.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Immunization.vaccinationProtocol.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Immunization.vaccinationProtocol.doseSequence",
"short": "Dose number within series",
"definition": "Nominal position in a series.",
"min": 1,
"max": "1",
"type": [
{
"code": "positiveInt"
}
],
"mapping": [
{
"identity": "rim",
"map": "outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].sequenceNumber"
}
]
},
{
"path": "Immunization.vaccinationProtocol.description",
"short": "Details of vaccine protocol",
"definition": "Contains the description about the protocol under which the vaccine was administered.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].source[classCode=SBADM].text"
}
]
},
{
"path": "Immunization.vaccinationProtocol.authority",
"short": "Who is responsible for protocol",
"definition": "Indicates the authority who published the protocol. E.g. ACIP.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Organization"
]
}
],
"mapping": [
{
"identity": "rim",
"map": "outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].source[classCode=SBADM].participation[typeCode=AUT].COCT_MT090200UV"
}
]
},
{
"path": "Immunization.vaccinationProtocol.series",
"short": "Name of vaccine series",
"definition": "One possible path to achieve presumed immunity against a disease - within the context of an authority.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "outboundRelationship[typeCode=INST].target[classCode=SBADM]"
}
]
},
{
"path": "Immunization.vaccinationProtocol.seriesDoses",
"short": "Recommended number of doses for immunity",
"definition": "The recommended number of doses to achieve immunity.",
"min": 0,
"max": "1",
"type": [
{
"code": "positiveInt"
}
],
"mapping": [
{
"identity": "rim",
"map": "outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].source[classCode=SBADM].text"
}
]
},
{
"path": "Immunization.vaccinationProtocol.targetDisease",
"short": "Disease immunized against",
"definition": "The targeted disease.",
"min": 1,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "The disease target of the vaccination protocol",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/vaccination-protocol-dose-target"
}
},
{
"path": "Immunization.reaction.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
"mapping": [
{
"identity": "rim",
"map": "outboundRelationship.target[classCode=OBS].code"
}
]
},
{
"path": "Immunization.vaccinationProtocol.doseStatus",
"short": "Indicates if dose counts towards immunity",
"definition": "Indicates if the immunization event should \"count\" against the protocol.",
"comments": "May need to differentiate between status declarations by a provider vs. a CDS engine.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "The status of the vaccination protocol (i.e. should this count)",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/vaccination-protocol-dose-status"
}
},
{
"path": "Immunization.reaction.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
"mapping": [
{
"identity": "rim",
"map": ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].playedRole[classCode=INGR].scopedRole.scoper[classCode=MMAT].playedRole[classCode=HLTHCHRT].participation[typeCode=SBJ].observation[classCode=OBS].value"
}
]
},
{
"path": "Immunization.vaccinationProtocol.doseStatusReason",
"short": "Why dose does (not) count",
"definition": "Provides an explanation as to why an immunization event should or should not count against the protocol.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "The reason for the determining if a vaccination should count or why vaccination should not count.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/vaccination-protocol-dose-status-reason"
}
},
{
"path": "Immunization.reaction.date",
"definition": {
"short": "When did reaction start?",
"formal": "Date of reaction to the immunization.",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".effectiveTime"
},
{
"identity": "v2",
"map": "OBX-14 (ideally this would be reported in an IAM segment, but IAM is not part of the V2.x VXU message - most likely would appear in OBX segments if at all\n)"
}
]
"mapping": [
{
"identity": "rim",
"map": ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].playedRole[classCode=INGR].scopedRole.scoper[classCode=MMAT].playedRole[classCode=HLTHCHRT].participation[typeCode=SBJ].observation[classCode=OBS].reasonCode"
}
]
}
]
},
"differential": {
"element": [
{
"path": "Immunization",
"short": "Immunization event information",
"definition": "Describes the event of a patient being administered a vaccination or a record of a vaccination as reported by a patient, a clinician or another party and may include vaccine reaction information and what vaccination protocol was followed.",
"min": 0,
"max": "*",
"type": [
{
"code": "DomainResource"
}
],
"constraint": [
{
"key": "imm-2",
"severity": "error",
"human": "If immunization was administered (wasNotGiven=false) then explanation.reasonNotGiven SHALL be absent.",
"xpath": "not(f:wasNotGiven/@value=false() and exists(f:explanation/f:reasonNotGiven))"
},
{
"key": "imm-1",
"severity": "error",
"human": "If immunization was not administred (wasNotGiven=true) then there SHALL be no reaction nor explanation.reason present",
"xpath": "not(f:wasNotGiven/@value=true() and (count(f:reaction) > 0 or exists(f:explanation/f:reason)))"
}
],
"mapping": [
{
"identity": "v2",
"map": "VXU_V04"
},
{
"identity": "rim",
"map": "SubstanceAdministration"
},
{
"identity": "w5",
"map": "clinical.medication"
}
]
},
{
"path": "Immunization.identifier",
"short": "Business identifier",
"definition": "A unique identifier assigned to this immunization record.",
"min": 0,
"max": "*",
"type": [
{
"code": "Identifier"
}
],
"mapping": [
{
"identity": "cda",
"map": "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/id"
},
{
"identity": "rim",
"map": ".id"
},
{
"identity": "w5",
"map": "id"
}
]
},
{
"path": "Immunization.status",
"short": "in-progress | on-hold | completed | entered-in-error | stopped",
"definition": "Indicates the current status of the vaccination event.",
"comments": "Will generally be set to show that the immunization has been completed.",
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
],
"isModifier": true,
"isSummary": true,
"binding": {
"strength": "required",
"description": "A set of codes indicating the current status of an Immunization",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/medication-admin-status"
}
},
{
"path": "Immunization.reaction.detail",
"definition": {
"short": "Additional information on reaction",
"formal": "Details of the reaction.",
"min": 0,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/AdverseReaction"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Observation"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".value"
},
{
"identity": "v2",
"map": "OBX-5"
}
]
"mapping": [
{
"identity": "rim",
"map": "statusCode"
},
{
"identity": "w5",
"map": "status"
}
]
},
{
"path": "Immunization.date",
"short": "Vaccination administration date",
"definition": "Date vaccine administered or was to be administered.",
"comments": "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.",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
}
],
"mapping": [
{
"identity": "cda",
"map": "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/effectiveTime/value"
},
{
"identity": "v2",
"map": "RXA-3"
},
{
"identity": "rim",
"map": ".effectiveTime"
},
{
"identity": "w5",
"map": "when.init"
}
]
},
{
"path": "Immunization.vaccineCode",
"short": "Vaccine product administered",
"definition": "Vaccine that was administered or was to be administered.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "The code for vaccine product administered",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/vaccine-code"
}
},
{
"path": "Immunization.reaction.reported",
"definition": {
"short": "Was reaction self-reported?",
"formal": "Self-reported indicator.",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)"
},
{
"identity": "v2",
"map": "(no such concept seems to exist for allergy/adverse reaction in V2.x)"
}
"mapping": [
{
"identity": "cda",
"map": "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/realmCode/code"
},
{
"identity": "v2",
"map": "RXA-5"
},
{
"identity": "rim",
"map": ".code"
},
{
"identity": "w5",
"map": "what"
}
]
},
{
"path": "Immunization.patient",
"short": "Who was immunized",
"definition": "The patient who either received or did not receive the immunization.",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Patient"
]
}
},
{
"path": "Immunization.vaccinationProtocol",
"definition": {
"short": "What protocol was followed",
"formal": "Contains information about the protocol(s) under which the vaccine was administered.",
"min": 0,
"max": "*",
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "outboundRelationship[typeCode=INST].target[classCode=SBADM]"
},
{
"identity": "v2",
"map": "(V2.x doesn't seem to provide for this)"
}
],
"mapping": [
{
"identity": "v2",
"map": "PID-3"
},
{
"identity": "rim",
"map": ".partipication[ttypeCode=].role"
},
{
"identity": "w5",
"map": "who.focus"
}
]
},
{
"path": "Immunization.wasNotGiven",
"short": "Flag for whether immunization was given",
"definition": "Indicates if the vaccination was or was not given.",
"min": 1,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"isModifier": true,
"mapping": [
{
"identity": "rim",
"map": "[actionNegationInd=true].reasonCode"
},
{
"identity": "w5",
"map": "status"
}
]
},
{
"path": "Immunization.reported",
"short": "Indicates a self-reported record",
"definition": "True if this administration was reported rather than directly administered.",
"comments": "May need source of reported info (e.g. parent), but leave out for now.",
"min": 1,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"mapping": [
{
"identity": "v2",
"map": "RXA-9"
},
{
"identity": "rim",
"map": ".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)"
},
{
"identity": "w5",
"map": "who.source"
}
]
},
{
"path": "Immunization.performer",
"short": "Who administered vaccine",
"definition": "Clinician who administered the vaccine.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Practitioner"
]
}
},
{
"path": "Immunization.vaccinationProtocol.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
],
"mapping": [
{
"identity": "cda",
"map": "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/performer/assignedEntity/assignedPerson/name"
},
{
"identity": "v2",
"map": "RXA-10"
},
{
"identity": "rim",
"map": ".participation[typeCode=PRF].COCT_MT090102UV"
},
{
"identity": "w5",
"map": "who.actor"
}
},
{
"path": "Immunization.vaccinationProtocol.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
]
},
{
"path": "Immunization.requester",
"short": "Who ordered vaccination",
"definition": "Clinician who ordered the vaccination.",
"comments": "Other participants - delegate to Provenance resource.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Practitioner"
]
}
},
{
"path": "Immunization.vaccinationProtocol.doseSequence",
"definition": {
"short": "What dose number within series?",
"formal": "Nominal position in a series.",
"min": 1,
"max": "1",
"type": [
{
"code": "integer"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].sequenceNumber"
}
],
"mapping": [
{
"identity": "v2",
"map": "ORC-12"
},
{
"identity": "rim",
"map": "outboundRelationship.target[classCode=SBADM].participation[typeCode=AUT].COCT_MT090102UV"
},
{
"identity": "w5",
"map": "who.cause"
}
]
},
{
"path": "Immunization.encounter",
"short": "Encounter administered as part of",
"definition": "The visit or admission or other contact between patient and health care provider the immunization was performed as part of.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Encounter"
]
}
},
{
"path": "Immunization.vaccinationProtocol.description",
"definition": {
"short": "Details of vaccine protocol",
"formal": "Contains the description about the protocol under which the vaccine was administered.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].source[classCode=SBADM].text"
}
],
"mapping": [
{
"identity": "v2",
"map": "PV1-19"
},
{
"identity": "rim",
"map": "component->EncounterEvent"
},
{
"identity": "w5",
"map": "context"
}
]
},
{
"path": "Immunization.manufacturer",
"short": "Vaccine manufacturer",
"definition": "Name of vaccine manufacturer.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Organization"
]
}
},
{
"path": "Immunization.vaccinationProtocol.authority",
"definition": {
"short": "Who is responsible for protocol",
"formal": "Indicates the authority who published the protocol? E.g. ACIP.",
"min": 0,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Organization"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].source[classCode=SBADM].participation[typeCode=AUT].COCT_MT090200UV"
}
],
"mapping": [
{
"identity": "cda",
"map": "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacuturerOrganization/name"
},
{
"identity": "v2",
"map": "RXA-17"
},
{
"identity": "rim",
"map": ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=ORG]"
}
]
},
{
"path": "Immunization.location",
"short": "Where vaccination occurred",
"definition": "The service delivery location where the vaccine administration occurred.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Location"
]
}
],
"mapping": [
{
"identity": "v2",
"map": "RXA-27 (or RXA-11, deprecated as of v2.7)"
},
{
"identity": "rim",
"map": ".participation[typeCode=LOC].COCT_MT240000UV"
},
{
"identity": "w5",
"map": "where"
}
]
},
{
"path": "Immunization.lotNumber",
"short": "Vaccine lot number",
"definition": "Lot number of the vaccine product.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "cda",
"map": "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/lotNumberText"
},
{
"identity": "v2",
"map": "RXA-15"
},
{
"identity": "rim",
"map": ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].id"
}
]
},
{
"path": "Immunization.expirationDate",
"short": "Vaccine expiration date",
"definition": "Date vaccine batch expires.",
"min": 0,
"max": "1",
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "v2",
"map": "RXA-16"
},
{
"identity": "rim",
"map": ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"
}
]
},
{
"path": "Immunization.site",
"short": "Body site vaccine was administered",
"definition": "Body site where vaccine was administered.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "The site at which the vaccine was administered",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/immunization-site"
}
},
{
"path": "Immunization.vaccinationProtocol.series",
"definition": {
"short": "Name of vaccine series",
"formal": "One possible path to achieve presumed immunity against a disease - within the context of an authority.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "outboundRelationship[typeCode=INST].target[classCode=SBADM]"
}
]
"mapping": [
{
"identity": "cda",
"map": "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/approachSiteCode/code"
},
{
"identity": "v2",
"map": "RXR-2"
},
{
"identity": "rim",
"map": "observation.targetSiteCode"
}
]
},
{
"path": "Immunization.route",
"short": "How vaccine entered body",
"definition": "The path by which the vaccine product is taken into the body.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "The route by which the vaccine was administered",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/immunization-route"
}
},
{
"path": "Immunization.vaccinationProtocol.seriesDoses",
"definition": {
"short": "Recommended number of doses for immunity",
"formal": "The recommended number of doses to achieve immunity.",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].source[classCode=SBADM].text"
}
"mapping": [
{
"identity": "cda",
"map": "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/routeCode/code"
},
{
"identity": "v2",
"map": "RXR-1"
},
{
"identity": "rim",
"map": ".routeCode"
}
]
},
{
"path": "Immunization.doseQuantity",
"short": "Amount of vaccine administered",
"definition": "The quantity of vaccine product that was administered.",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity",
"profile": [
"http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
]
}
],
"mapping": [
{
"identity": "v2",
"map": "RXA-6 / RXA-7.1"
},
{
"identity": "rim",
"map": ".doseQuantity"
}
]
},
{
"path": "Immunization.note",
"short": "Vaccination notes",
"definition": "Extra information about the immunization that is not conveyed by the other attributes.",
"min": 0,
"max": "*",
"type": [
{
"code": "Annotation"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "note"
}
]
},
{
"path": "Immunization.explanation",
"short": "Administration/non-administration reasons",
"definition": "Reasons why a vaccine was or was not administered.",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Immunization.explanation.reason",
"short": "Why immunization occurred",
"definition": "Reasons why a vaccine was administered.",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "The reason why a vaccine was administered",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/immunization-reason"
}
},
{
"path": "Immunization.vaccinationProtocol.doseTarget",
"definition": {
"short": "Disease immunized against",
"formal": "The targeted disease.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "VaccinationProtocolDoseTarget",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/vaccination-protocol-dose-target"
}
},
"mapping": [
{
"identity": "rim",
"map": "outboundRelationship.target[classCode=OBS].code"
}
]
"mapping": [
{
"identity": "rim",
"map": "[actionNegationInd=false].reasonCode"
}
]
},
{
"path": "Immunization.explanation.reasonNotGiven",
"short": "Why immunization did not occur",
"definition": "Reason why a vaccine was not administered.",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "The reason why a vaccine was not administered",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/no-immunization-reason"
}
},
{
"path": "Immunization.vaccinationProtocol.doseStatus",
"definition": {
"short": "Does dose count towards immunity?",
"formal": "Indicates if the immunization event should \"count\" against the protocol.",
"comments": "May need to differentiate between status declarations by a provider vs. a CDS engine.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "VaccinationProtocolDoseStatus",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/vaccination-protocol-dose-status"
}
},
"mapping": [
{
"identity": "rim",
"map": ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].playedRole[classCode=INGR].scopedRole.scoper[classCode=MMAT].playedRole[classCode=HLTHCHRT].participation[typeCode=SBJ].observation[classCode=OBS].value"
}
"mapping": [
{
"identity": "v2",
"map": "RXA-18"
},
{
"identity": "rim",
"map": "[actionNegationInd=true].reasonCode"
}
]
},
{
"path": "Immunization.reaction",
"short": "Details of a reaction that follows immunization",
"definition": "Categorical data indicating that an adverse event is associated in time to an immunization.",
"comments": "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]]] resource instance as most systems will not query against past Immunization.reaction elements.",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "v2",
"map": "OBX-3"
},
{
"identity": "rim",
"map": "Observation[classCode=obs].code"
}
]
},
{
"path": "Immunization.reaction.date",
"short": "When reaction started",
"definition": "Date of reaction to the immunization.",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
}
],
"mapping": [
{
"identity": "v2",
"map": "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)"
},
{
"identity": "rim",
"map": ".effectiveTime"
}
]
},
{
"path": "Immunization.reaction.detail",
"short": "Additional information on reaction",
"definition": "Details of the reaction.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Observation"
]
}
},
{
"path": "Immunization.vaccinationProtocol.doseStatusReason",
"definition": {
"short": "Why does does count/not count?",
"formal": "Provides an explanation as to why a immunization event should or should not count against the protocol.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "VaccinationProtocolDoseStatusReason",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/vaccination-protocol-dose-status-reason"
}
},
"mapping": [
{
"identity": "rim",
"map": ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].playedRole[classCode=INGR].scopedRole.scoper[classCode=MMAT].playedRole[classCode=HLTHCHRT].participation[typeCode=SBJ].observation[classCode=OBS].reasonCode"
}
],
"mapping": [
{
"identity": "v2",
"map": "OBX-5"
},
{
"identity": "rim",
"map": ".value"
}
]
},
{
"path": "Immunization.reaction.reported",
"short": "Indicates self-reported reaction",
"definition": "Self-reported indicator.",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"mapping": [
{
"identity": "v2",
"map": "(no such concept seems to exist for allergy/adverse reaction in HL7 v2)"
},
{
"identity": "rim",
"map": ".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)"
}
]
},
{
"path": "Immunization.vaccinationProtocol",
"short": "What protocol was followed",
"definition": "Contains information about the protocol(s) under which the vaccine was administered.",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "v2",
"map": "(HL7 v2 doesn't seem to provide for this)"
},
{
"identity": "rim",
"map": "outboundRelationship[typeCode=INST].target[classCode=SBADM]"
}
]
},
{
"path": "Immunization.vaccinationProtocol.doseSequence",
"short": "Dose number within series",
"definition": "Nominal position in a series.",
"min": 1,
"max": "1",
"type": [
{
"code": "positiveInt"
}
],
"mapping": [
{
"identity": "rim",
"map": "outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].sequenceNumber"
}
]
},
{
"path": "Immunization.vaccinationProtocol.description",
"short": "Details of vaccine protocol",
"definition": "Contains the description about the protocol under which the vaccine was administered.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].source[classCode=SBADM].text"
}
]
},
{
"path": "Immunization.vaccinationProtocol.authority",
"short": "Who is responsible for protocol",
"definition": "Indicates the authority who published the protocol. E.g. ACIP.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Organization"
]
}
}
],
"searchParam": [
{
"name": "_id",
"type": "token",
"documentation": "The logical resource id associated with the resource (must be supported by all servers)"
},
{
"name": "_language",
"type": "token",
"documentation": "The language of the resource"
},
{
"name": "date",
"type": "date",
"documentation": "Vaccination Administration / Refusal Date",
"xpath": "f:Immunization/f:date"
},
{
"name": "dose-sequence",
"type": "number",
"documentation": "What dose number within series?",
"xpath": "f:Immunization/f:vaccinationProtocol/f:doseSequence"
},
{
"name": "identifier",
"type": "token",
"documentation": "Business identifier",
"xpath": "f:Immunization/f:identifier"
},
{
"name": "location",
"type": "reference",
"documentation": "The service delivery location or facility in which the vaccine was / was to be administered",
"xpath": "f:Immunization/f:location"
},
{
"name": "lot-number",
"type": "string",
"documentation": "Vaccine Lot Number",
"xpath": "f:Immunization/f:lotNumber"
},
{
"name": "manufacturer",
"type": "reference",
"documentation": "Vaccine Manufacturer",
"xpath": "f:Immunization/f:manufacturer"
},
{
"name": "performer",
"type": "reference",
"documentation": "The practitioner who administered the vaccination",
"xpath": "f:Immunization/f:performer"
},
{
"name": "reaction",
"type": "reference",
"documentation": "Additional information on reaction",
"xpath": "f:Immunization/f:reaction/f:detail"
},
{
"name": "reaction-date",
"type": "date",
"documentation": "When did reaction start?",
"xpath": "f:Immunization/f:reaction/f:date"
},
{
"name": "reason",
"type": "token",
"documentation": "Why immunization occurred",
"xpath": "f:Immunization/f:explanation/f:reason"
},
{
"name": "refusal-reason",
"type": "token",
"documentation": "Explanation of refusal / exemption",
"xpath": "f:Immunization/f:explanation/f:refusalReason"
},
{
"name": "refused",
"type": "token",
"documentation": "Was immunization refused?",
"xpath": "f:Immunization/f:refusedIndicator"
],
"mapping": [
{
"identity": "rim",
"map": "outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].source[classCode=SBADM].participation[typeCode=AUT].COCT_MT090200UV"
}
]
},
{
"path": "Immunization.vaccinationProtocol.series",
"short": "Name of vaccine series",
"definition": "One possible path to achieve presumed immunity against a disease - within the context of an authority.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "outboundRelationship[typeCode=INST].target[classCode=SBADM]"
}
]
},
{
"path": "Immunization.vaccinationProtocol.seriesDoses",
"short": "Recommended number of doses for immunity",
"definition": "The recommended number of doses to achieve immunity.",
"min": 0,
"max": "1",
"type": [
{
"code": "positiveInt"
}
],
"mapping": [
{
"identity": "rim",
"map": "outboundRelationship[typeCode=INST].target[classCode=SBADM].inboundRelationship[typeCode=COMP].source[classCode=SBADM].text"
}
]
},
{
"path": "Immunization.vaccinationProtocol.targetDisease",
"short": "Disease immunized against",
"definition": "The targeted disease.",
"min": 1,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "The disease target of the vaccination protocol",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/vaccination-protocol-dose-target"
}
},
{
"name": "requester",
"type": "reference",
"documentation": "The practitioner who ordered the vaccination",
"xpath": "f:Immunization/f:requester"
"mapping": [
{
"identity": "rim",
"map": "outboundRelationship.target[classCode=OBS].code"
}
]
},
{
"path": "Immunization.vaccinationProtocol.doseStatus",
"short": "Indicates if dose counts towards immunity",
"definition": "Indicates if the immunization event should \"count\" against the protocol.",
"comments": "May need to differentiate between status declarations by a provider vs. a CDS engine.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "The status of the vaccination protocol (i.e. should this count)",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/vaccination-protocol-dose-status"
}
},
{
"name": "subject",
"type": "reference",
"documentation": "The subject of the vaccination event / refusal",
"xpath": "f:Immunization/f:subject"
"mapping": [
{
"identity": "rim",
"map": ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].playedRole[classCode=INGR].scopedRole.scoper[classCode=MMAT].playedRole[classCode=HLTHCHRT].participation[typeCode=SBJ].observation[classCode=OBS].value"
}
]
},
{
"path": "Immunization.vaccinationProtocol.doseStatusReason",
"short": "Why dose does (not) count",
"definition": "Provides an explanation as to why an immunization event should or should not count against the protocol.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "The reason for the determining if a vaccination should count or why vaccination should not count.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/vaccination-protocol-dose-status-reason"
}
},
{
"name": "vaccine-type",
"type": "token",
"documentation": "Vaccine Product Type Administered",
"xpath": "f:Immunization/f:vaccineType"
}
]
}
]
"mapping": [
{
"identity": "rim",
"map": ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].playedRole[classCode=INGR].scopedRole.scoper[classCode=MMAT].playedRole[classCode=HLTHCHRT].participation[typeCode=SBJ].observation[classCode=OBS].reasonCode"
}
]
}
]
}
}
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
©
©
HL7.org
2011+.
FHIR
DSTU
(v0.0.82.2943)
DSTU2
(v1.0.2-7202)
generated
on
Tue,
Sep
30,
2014
18:09+1000.
Sat,
Oct
24,
2015
07:43+1100.
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