MyHealtheVet use of PGHD - Local Development build (v0.2.10-beta) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: MHVimmunization - Mappings

Page standards status: Informative

Mappings for the VA.MHV.immunization resource profile.

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

MHVimmunization
Immunization	Event
identifier	Event.identifier
status	Event.status
vaccineCode	Event.code
patient	Event.subject
occurrence[x]	Event.occurrence[x]
note	Event.note

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

MHVimmunization
Immunization	VXU_V04
vaccineCode	RXA-5
patient	PID-3
occurrence[x]	RXA-3
primarySource	RXA-9
reportOrigin	RXA-9
route	RXR-1
note	OBX-5 : OBX-3 = 48767-8
reaction	OBX-3
date	OBX-14 (ideally this would be reported in an IAM segment, but IAM is not part of the HL7 v2 VXU message - most likely would appear in OBX segments if at all)
detail	OBX-5
reported	(HL7 v2 doesn't seem to provide for this)

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

MHVimmunization
Immunization	Entity. Role, or Act, SubstanceAdministration
meta
id	n/a
extension	n/a
text	Act.text?
contained	N/A
extension	N/A
modifierExtension	N/A
identifier	.id
status	statusCode
vaccineCode	.code
patient	.partipication[ttypeCode=].role
occurrence[x]	.effectiveTime
recorded	.participation[typeCode=AUT].time
primarySource	immunization.uncertaintycode (if primary source=false, uncertainty=U)
reportOrigin	.participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported) .participation[typeCode=INF].role[classCode=LIC] (this syntax for health care professional) .participation[typeCode=INF].role[classCode=PRS] (this syntax for family member)
route	.routeCode
note	note
subpotentReason	N/A
reaction	Observation[classCode=obs].code
id	n/a
extension	n/a
modifierExtension	N/A
date	.effectiveTime
detail	.value
reported	.participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)

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

MHVimmunization
Immunization
identifier	FiveWs.identifier
status	FiveWs.status
vaccineCode	FiveWs.what[x]
patient	FiveWs.subject[x], FiveWs.subject
occurrence[x]	FiveWs.done[x]
recorded	FiveWs.recorded
primarySource	FiveWs.source
reportOrigin	FiveWs.source

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

MHVimmunization
Immunization
identifier	ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/id
vaccineCode	ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/realmCode/code
occurrence[x]	ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/effectiveTime/value
route	ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/routeCode/code

Mappings for MyHealtheVet mapping to FHIR/PGHD (MHV-UI)

MHVimmunization
Immunization	MHV-UI	Used in the MyHealtheVet Immunization User Interface
meta
tag	MHV tag
status	complete
vaccineCode	Immunization: UI value
patient	the Patient
occurrence[x]	Date Received: UI value
recorded	the date recorded
primarySource	false
reportOrigin	Patient recall
route	Method: UI value
note	Comment: UI value
reaction
detail	Reaction: UI value