<status value="active" /> <date value="2021-11-09T22:40:48.4530491+00:00" /> <publisher value="OMD" /> <description value="Immunization Profile" /> <fhirVersion value="4.0.1" /> <mapping> <identity value="CDSS5.1" /> <uri value="www.ontariomd.com" /> <name value="CDS-S 5.1" /> </mapping> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Pattern" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <mapping> <identity value="cda" /> <uri value="http://hl7.org/v3/cda" /> <name value="CDA (R2)" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Immunization" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Immunization" /> <derivation value="constraint" /> <differential> <element id="Immunization.id"> <path value="Immunization.id" /> <short value="Immunization RID" /> </element> <element id="Immunization.identifier"> <path value="Immunization.identifier" /> <min value="1" /> <max value="1" /> </element> <element id="Immunization.identifier.system"> <path value="Immunization.identifier.system" /> <min value="1" /> <patternUri value="http://ehealthontario.ca/fhir/NamingSystem/ca-on-covax-imm-id" /> </element> <element id="Immunization.identifier.value"> <path value="Immunization.identifier.value" /> <min value="1" /> </element> <element id="Immunization.status"> <path value="Immunization.status" /> <short value="completed | not-done" /> <definition value="BASE RESOURCE DEFINITION: Indicates the current status of the immunization event. CDS-S PROFILE DEFINITION: A flag to indicate whether the immunization was administered or refused." /> <mustSupport value="true" /> <mapping> <identity value="CDSS5.1" /> <map value="DE08.011" /> <comment value="Refused Indicator" /> </mapping> </element> <element id="Immunization.statusReason"> <path value="Immunization.statusReason" /> <comment value="Usage Notes: a reason should be provided if the status is 'not-done'." /> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://ehealthontario.ca/fhir/ValueSet/immunizationstatusreason" /> </binding> </element> <element id="Immunization.vaccineCode"> <path value="Immunization.vaccineCode" /> <mustSupport value="true" /> </element> <element id="Immunization.vaccineCode.coding"> <path value="Immunization.vaccineCode.coding" /> <slicing> <discriminator> <type value="pattern" /> <path value="$this" /> </discriminator> <description value="Slice based on $this pattern" /> <rules value="open" /> </slicing> <min value="1" /> <max value="2" /> </element> <element id="Immunization.vaccineCode.coding.system"> <path value="Immunization.vaccineCode.coding.system" /> <min value="1" /> </element> <element id="Immunization.vaccineCode.coding.code"> <path value="Immunization.vaccineCode.coding.code" /> <definition value="BASE RESOURCE DEFINITION: A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). CDS-S PROFILE DEFINITION: The immunogen component of the "Vaccine Type" as described in the ‘Canadian Immunization Guide’." /> <min value="1" /> <mustSupport value="true" /> <binding> <strength value="required" /> <description value="Immunization Type" /> <valueSet value="https://fhir.infoway-inforoute.ca/ValueSet/vaccinehistoricalnamecode|https://fhir.infoway-inforoute.ca/ValueSet/passiveadministeredimmunizingagentcode" /> </binding> <mapping> <identity value="CDSS5.1" /> <map value="DE08.003" /> <comment value="Immunization Type" /> </mapping> </element> <element id="Immunization.vaccineCode.coding.display"> <path value="Immunization.vaccineCode.coding.display" /> <min value="1" /> </element> <element id="Immunization.vaccineCode.coding:Generic"> <path value="Immunization.vaccineCode.coding" /> <sliceName value="Generic" /> <short value="Immunizing agent / generic name" /> <max value="1" /> <binding> <strength value="required" /> <valueSet value="http://ehealthontario.ca/fhir/ValueSet/generic" /> </binding> </element> <element id="Immunization.vaccineCode.coding:Tradename"> <path value="Immunization.vaccineCode.coding" /> <sliceName value="Tradename" /> <short value="Trade name of immunizing agent" /> <definition value="BASE RESOURCE DEFINITION: A reference to a code defined by a terminology system. CDS-S PROFILE DEFINITION: The actual Drug Identification Number (DIN) from the EMR's Drug Database for the selected vaccine and/or as typed in by the user. This is the DIN of the vaccine that was administered." /> <max value="1" /> <mustSupport value="true" /> <binding> <strength value="required" /> <description value="Trade Name" /> </binding> <mapping> <identity value="CDSS5.1" /> <map value="DE08.002" /> <comment value="Trade Name" /> </mapping> </element> <element id="Immunization.vaccineCode.text"> <path value="Immunization.vaccineCode.text" /> <definition value="BASE RESOURCE DEFINITION: A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. CDS-S PROFILE DEFINITION: The brand name under which the administered vaccine is marketed in Canada (provided by EMR's drug database) or the name of the vaccine as typed in by the provider." /> <mustSupport value="true" /> <binding> <strength value="required" /> <description value="Immunization Name" /> <valueSet value="https://fhir.infoway-inforoute.ca/ValueSet/vaccineadministeredtradenamecode" /> </binding> <mapping> <identity value="CDSS5.1" /> <map value="DE08.001" /> <comment value="Immunization Name" /> </mapping> </element> <element id="Immunization.patient"> <path value="Immunization.patient" /> <type> <code value="Reference" /> <targetProfile value="https://simplifier.net/omd-cdss/patientprofile" /> </type> </element> <element id="Immunization.occurrence[x]"> <path value="Immunization.occurrence[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <definition value="BASE RESOURCE DEFINITION: Date vaccine administered or was to be administered. CDS-S PROFILE DEFINITION (Immunization Date): The date the immunization was administered to the patient. CDS-S PROFILE DEFINITION (Immunization Refused Date): The date the immunization was refused." /> <type> <code value="dateTime" /> </type> </element> <element id="Immunization.occurrence[x]:occurrenceDateTime"> <path value="Immunization.occurrence[x]" /> <sliceName value="occurrenceDateTime" /> <definition value="BASE RESOURCE DEFINITION: Date vaccine administered or was to be administered. CDS-S PROFILE DEFINITION (Immunization Date): The date the immunization was administered to the patient. CDS-S PROFILE DEFINITION (Immunization Refused Date): The date the immunization was refused." /> <type> <code value="dateTime" /> </type> <mustSupport value="true" /> <mapping> <identity value="CDSS5.1" /> <map value="DE08.009" /> <comment value="Immunization Date" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE08.010" /> <comment value="Immunization Refused Date" /> </mapping> </element> <element id="Immunization.primarySource"> <path value="Immunization.primarySource" /> <short value="An indication whether the content of the record originated from the primary source" /> <min value="1" /> </element> <element id="Immunization.reportOrigin"> <path value="Immunization.reportOrigin" /> <short value="The source of the data when the report of the immunization event is not based on information from the primary source" /> <binding> <strength value="required" /> <valueSet value="http://ehealthontario.ca/fhir/ValueSet/repsource" /> </binding> </element> <element id="Immunization.reportOrigin.coding"> <path value="Immunization.reportOrigin.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Immunization.reportOrigin.coding.system"> <path value="Immunization.reportOrigin.coding.system" /> <min value="1" /> </element> <element id="Immunization.reportOrigin.coding.code"> <path value="Immunization.reportOrigin.coding.code" /> <min value="1" /> </element> <element id="Immunization.reportOrigin.coding.display"> <path value="Immunization.reportOrigin.coding.display" /> <min value="1" /> </element> <element id="Immunization.location"> <path value="Immunization.location" /> <type> <code value="Reference" /> <targetProfile value="https://simplifier.net/omd-cdss/locationprofile" /> </type> </element> <element id="Immunization.location.display"> <path value="Immunization.location.display" /> <short value="Service Delivery Location where the immunization was administered" /> <min value="1" /> </element> <element id="Immunization.manufacturer"> <path value="Immunization.manufacturer" /> <definition value="BASE RESOURCE DEFINITION: Name of vaccine manufacturer. CDS-S PROFILE DEFINITION: The manufacturer of the administered immunization." /> <type> <code value="Reference" /> <targetProfile value="https://simplifier.net/omd-cdss/organizationprofile" /> </type> <mustSupport value="true" /> <mapping> <identity value="CDSS5.1" /> <map value="DE08.004" /> <comment value="Manufacturer" /> </mapping> </element> <element id="Immunization.lotNumber"> <path value="Immunization.lotNumber" /> <short value="Lot number" /> <definition value="BASE RESOURCE DEFINITION: Lot number of the vaccine product. CDS-S PROFILE DEFINITION: The product lot number corresponding to the administered immunization." /> <mustSupport value="true" /> <mapping> <identity value="CDSS5.1" /> <map value="DE08.005" /> <comment value="Lot #" /> </mapping> </element> <element id="Immunization.expirationDate"> <path value="Immunization.expirationDate" /> <short value="Lot expiration date" /> </element> <element id="Immunization.site"> <path value="Immunization.site" /> <binding> <strength value="extensible" /> <valueSet value="https://www.hl7.org/fhir/valueset-immunization-site.html" /> </binding> </element> <element id="Immunization.site.coding"> <path value="Immunization.site.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Immunization.site.coding.system"> <path value="Immunization.site.coding.system" /> <min value="1" /> </element> <element id="Immunization.site.coding.code"> <path value="Immunization.site.coding.code" /> <min value="1" /> </element> <element id="Immunization.site.coding.display"> <path value="Immunization.site.coding.display" /> <definition value="BASE RESOURCE DEFINITION: A representation of the meaning of the code in the system, following the rules of the system. CDS-S PROFILE DEFINITION: The anatomical site location of the administered immunization." /> <min value="1" /> <mustSupport value="true" /> <mapping> <identity value="CDSS5.1" /> <map value="DE08.007" /> <comment value="Site" /> </mapping> </element> <element id="Immunization.route"> <path value="Immunization.route" /> <binding> <strength value="extensible" /> <valueSet value="https://www.hl7.org/fhir/valueset-immunization-route.html" /> </binding> </element> <element id="Immunization.route.coding"> <path value="Immunization.route.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Immunization.route.coding.system"> <path value="Immunization.route.coding.system" /> <min value="1" /> </element> <element id="Immunization.route.coding.code"> <path value="Immunization.route.coding.code" /> <min value="1" /> </element> <element id="Immunization.route.coding.display"> <path value="Immunization.route.coding.display" /> <definition value="BASE RESOURCE DEFINITION: A representation of the meaning of the code in the system, following the rules of the system. CDS-S PROFILE DEFINITION: The route or method the immunization has been administered." /> <min value="1" /> <mustSupport value="true" /> <mapping> <identity value="CDSS5.1" /> <map value="DE08.006" /> <comment value="Route" /> </mapping> </element> <element id="Immunization.doseQuantity.value"> <path value="Immunization.doseQuantity.value" /> <definition value="BASE RESOURCE DEFINITION: The value of the measured amount. The value includes an implicit precision in the presentation of the value CDS-S PROFILE DEFINITION Dose amount and unit of measure corresponding to the administered immunization." /> <min value="1" /> <mustSupport value="true" /> <mapping> <identity value="CDSS5.1" /> <map value="DE08.008" /> <comment value="Dose" /> </mapping> </element> <element id="Immunization.doseQuantity.unit"> <path value="Immunization.doseQuantity.unit" /> <min value="1" /> </element> <element id="Immunization.performer.function"> <path value="Immunization.performer.function" /> <min value="1" /> <fixedCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0443" /> <code value="AP" /> <display value="Administering Provider" /> </coding> </fixedCodeableConcept> </element> <element id="Immunization.performer.actor"> <path value="Immunization.performer.actor" /> <short value="Individual who adminstered the immunization" /> <type> <code value="Reference" /> <targetProfile value="https://simplifier.net/omd-cdss/practitionerprofile" /> </type> </element> <element id="Immunization.note"> <path value="Immunization.note" /> <short value="Additional immunization comments" /> </element> <element id="Immunization.note.text"> <path value="Immunization.note.text" /> <definition value="BASE RESOURCE DEFINITION: The text of the annotation in markdown format. CDS-S PROFILE DEFINITION: Additional information about the patient's immunization." /> <mustSupport value="true" /> <mapping> <identity value="CDSS5.1" /> <map value="DE08.013" /> <comment value="Notes" /> </mapping> </element> <element id="Immunization.isSubpotent"> <path value="Immunization.isSubpotent" /> <short value="Dose potency flag" /> </element> <element id="Immunization.protocolApplied"> <path value="Immunization.protocolApplied" /> <short value="In the current release: populated only for the last immunization record" /> <definition value="BASE RESOURCE DEFINITION: The protocol (set of recommendations) being followed by the provider who administered the dose. CDS-S PROFILE DEFINITION: Information pertaining to how the vaccine should be administered (e.g., its relationship to other vaccinations in a series, instructions for the patient)." /> <mapping> <identity value="CDSS5.1" /> <map value="DE08.012" /> <comment value="Instructions" /> </mapping> </element> <element id="Immunization.protocolApplied.targetDisease"> <path value="Immunization.protocolApplied.targetDisease" /> <binding> <strength value="required" /> <valueSet value="http://ehealthontario.ca/fhir/ValueSet/disease" /> </binding> </element> <element id="Immunization.protocolApplied.doseNumber[x]"> <path value="Immunization.protocolApplied.doseNumber[x]" /> <short value="doseNumberPostiveInt if a patient has at least 1 valide dose; doseNumberString='0' if a patient doesn't have any valid doses" /> </element> <element id="Immunization.protocolApplied.seriesDoses[x]"> <path value="Immunization.protocolApplied.seriesDoses[x]" /> <type> <code value="positiveInt" /> </type> </element> </differential> </StructureDefinition>