US Veterans Health Administration FHIR Map Set Implementation Guide
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US Veterans Health Administration FHIR Map Set Implementation Guide - Downloaded Version 1.9.0 See the Directory of published versions

Resource Profile: ImmunizationObservation - Mappings

Active as of 2025-09-30

Mappings for the ImmunizationObservation resource profile.

Scroll down for the Raw FHIR, CDW & SDA mappings (if any).

Note that the CDW, SDA and VPR XML mappings are derived from a look-up based on the VistA source.

Mapping Sources

Use Case: Immunization (Source)Use Case: Immunization (Source)PATIENT/IHS (9000001).01NAMEVISIT (9000010).22HOSPITAL LOCATIONV IMMUNIZATION (9000010.11).01IMMUNIZATION.02PATIENT NAME.03VISIT.04SERIES.05LOT.06REACTION1201EVENT DATE AND TIME1204ENCOUNTER PROVIDER1205DATE/TIME RECORDED1301EVENT INFORMATION SOURCE1312DOSE1313DOSE UNITS81101COMMENTSIMMUNIZATION (9999999.14).01NAME.03CVX CODEIMMUNIZATION LOT (9999999.41).01LOT NUMBER.02MANUFACTURER.18NDC CODE (VA)UCUM CODES (757.5).01DESCRIPTION OF THE UNIT1UCUM CODE[V IMMUNIZATION - IMMUNIZATION null][CVX populated][missing or unknown][text like 'contraindicated', 'refused', 'decline', 'not avail'][not null]

Raw Mappings

key status direction source mapApproach mapCase FHIR Path subPath mapValue mapParameter mapComment FHIR URL | Ver
1674 for review V2F fixed value Observation.status #completed http://hl7.org/fhir/StructureDefinition/Observation | 4.0.1
1675 for review V2F fixed value Observation.code http://loinc.org#31044-1 http://hl7.org/fhir/StructureDefinition/Observation | 4.0.1
1594 for review V2F V IMMUNIZATION - REACTION (9000010.11-.06) terminologyMaps Observation.valueCodeableConcept VF_ImmunizationReaction identified byMHV http://hl7.org/fhir/StructureDefinition/Observation | 4.0.1
1595 for review V2F V IMMUNIZATION - REACTION (9000010.11-.06) source value Observation.valueCodeableConcept .coding.code .coding.system = http://va.gov/terminology/vistaDefinedTerms/9000010.11-.06 identified byMHV http://hl7.org/fhir/StructureDefinition/Observation | 4.0.1
1596 for review V2F V IMMUNIZATION - REACTION (9000010.11-.06) source value Observation.valueCodeableConcept.text VA.gov recommends not using this; use AE data if necessary. Need identified by MHV for alignment with historical presentation. http://hl7.org/fhir/StructureDefinition/Observation | 4.0.1

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameVeterans Health Information Systems Technology and Architecture (VistA)Clinical Data Warehouse (CDW)Summary Document Architecure (SDA)Virtual Patient Record XML (VPR)Workflow PatternSNOMED CT Concept Domain BindingSNOMED CT Attribute Bindingdoco
.. Observation
Event
< 363787002 |Observable entity|
... id
... meta
... implicitRules
... language
... text
... contained
... extension
... modifierExtension
... identifier
Event.identifier
... basedOn
Event.basedOn
... partOf
Event.partOf
... status
fixed value = #completed
Event.status
< 445584004 |Report by finality status|
... category
... code
fixed value = http://loinc.org#31044-1
Event.code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
116680003 |Is a|
... subject
Event.subject
... focus
... encounter
Event.context
... effective[x]
Event.occurrence[x]
... issued
... performer
Event.performer.actor
... Slices for value[x]
< 441742003 |Evaluation finding|
363714003 |Interprets|
.... value[x]:valueCodeableConcept
terminologyMaps using VF_ImmunizationReaction on V IMMUNIZATION - REACTION (9000010.11-.06)
identified byMHV
Immun.Immunization.Reaction
Vaccination.Extension[VaccinationExtension].Reaction
immunization.reaction
< 441742003 |Evaluation finding|
363714003 |Interprets|
..... id
..... extension
..... coding
...... id
...... extension
...... system
fixed value = http://va.gov/terminology/vistaDefinedTerms/9000010.11-.06
mapParameter line 1
...... version
...... code
source value based on V IMMUNIZATION - REACTION (9000010.11-.06)
identified byMHV
Immun.Immunization.Reaction
Vaccination.Extension[VaccinationExtension].Reaction
immunization.reaction
...... display
...... userSelected
..... text
source value based on V IMMUNIZATION - REACTION (9000010.11-.06)
VA.gov recommends not using this; use AE data if necessary. Need identified by MHV for alignment with historical presentation.
Immun.Immunization.Reaction
Vaccination.Extension[VaccinationExtension].Reaction
immunization.reaction
... dataAbsentReason
... interpretation
< 260245000 |Findings values|
363713009 |Has interpretation|
... note
... bodySite
< 123037004 |Body structure|
718497002 |Inherent location|
... method
... specimen
< 123038009 |Specimen|
704319004 |Inherent in|
... device
< 49062001 |Device|
424226004 |Using device|
... referenceRange
.... id
.... extension
.... modifierExtension
.... low
.... high
.... type
< 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
.... appliesTo
< 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
.... age
.... text
... hasMember
... derivedFrom
... component
.... id
.... extension
.... modifierExtension
.... code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
.... value[x]
363714003 |Interprets| < 441742003 |Evaluation finding|
363714003 |Interprets|
.... dataAbsentReason
.... interpretation
< 260245000 |Findings values|
363713009 |Has interpretation|
.... referenceRange

doco Documentation for this format