C-CDA on FHIR
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This page is part of the C-CDA on FHIR Implementation Guide (v1.2.0-ballot: STU 1 Ballot 4) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

: FHIR Immunization Status Reason to C-CDA Immunization Refusal - JSON Representation

Active as of 2023-03-27

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{
  "resourceType" : "ConceptMap",
  "id" : "FC-ImmunizationRefusal",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>FHIRtoCCDAImmunizationRefusal (http://hl7.org/fhir/us/ccda/ConceptMap/FC-ImmunizationRefusal)</h2><p>Mapping from <a href=\"http://hl7.org/fhir/R4/valueset-immunization-status-reason.html\">Immunization Status Reason Codes</a> to https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.19717</p><p>ACTIVE. Published on 2023-03-27 20:45:24+0000 by HL7 Structured Documents Working Group (HL7 Structured Documents Working Group: <a href=\"http://hl7.org/Special/committees/structure/index.cfm\">http://hl7.org/Special/committ...</a>). </p><div><p>FHIR Immunization Status Reason to C-CDA Immunization Refusal</p>\n</div><br/><p><b>Group 1</b>Mapping from <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActReason.html\">ActReason</a> to <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActReason.html\">ActReason</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>IMMUNE (immunity)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>IMMUNE (immunity)</td></tr><tr><td>MEDPREC (medical precaution)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>MEDPREC (medical precaution)</td></tr><tr><td>OSTOCK (product out of stock)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>OSTOCK (product out of stock)</td></tr><tr><td>PATOBJ (patient objection)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>PATOBJ (patient objection)</td></tr></table><hr/><p><b>Group 2</b>Mapping from <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a> to <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActReason.html\">ActReason</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>171257003 (No consent - Tetanus/low dose diphtheria vaccine)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>PATOBJ (patient objection)</td></tr><tr><td>171265000 (Pertussis vaccine refused)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>PATOBJ (patient objection)</td></tr><tr><td>171266004 (No consent - diphtheria immunization)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>PATOBJ (patient objection)</td></tr><tr><td>171267008 (No consent - tetanus immunization)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>PATOBJ (patient objection)</td></tr><tr><td>171268003 (Polio immunization refused)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>PATOBJ (patient objection)</td></tr><tr><td>171269006 (No consent - measles immunization)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>PATOBJ (patient objection)</td></tr><tr><td>171270007 (No consent - rubella immunization)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>PATOBJ (patient objection)</td></tr><tr><td>171271006 (No consent - BCG)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>PATOBJ (patient objection)</td></tr><tr><td>171272004 (No consent - influenza immunization)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>PATOBJ (patient objection)</td></tr><tr><td>171280006 (No consent for MMR)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>PATOBJ (patient objection)</td></tr><tr><td>171283008 (No consent for any primary immunization)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>PATOBJ (patient objection)</td></tr><tr><td>171285001 (No consent - pre-school vaccinations)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>PATOBJ (patient objection)</td></tr><tr><td>171286000 (No consent - school exit vaccinations)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>PATOBJ (patient objection)</td></tr><tr><td>171291004 (No consent - Haemophilus influenzae type B immunization)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>PATOBJ (patient objection)</td></tr><tr><td>171292006 (No consent pneumococcal immunization)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>PATOBJ (patient objection)</td></tr><tr><td>171293001 (No consent for MR - Measles/rubella vaccine)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>PATOBJ (patient objection)</td></tr><tr><td>268559007 (No consent for any immunization)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>PATOBJ (patient objection)</td></tr><tr><td>310839003 (No consent for MMR1)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>PATOBJ (patient objection)</td></tr><tr><td>310840001 (No consent for second measles, mumps and rubella vaccine)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>PATOBJ (patient objection)</td></tr><tr><td>314768003 (No consent diphtheria, tetanus, pertussis immunization)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>PATOBJ (patient objection)</td></tr><tr><td>314769006 (No consent tetanus plus diphtheria immunization)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>PATOBJ (patient objection)</td></tr><tr><td>314936001 (No consent for meningitis C immunization)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>PATOBJ (patient objection)</td></tr><tr><td>407598009 (No consent for 3rd HIB booster)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>PATOBJ (patient objection)</td></tr></table></div>"
  },
  "url" : "http://hl7.org/fhir/us/ccda/ConceptMap/FC-ImmunizationRefusal",
  "version" : "1.2.0-ballot",
  "name" : "FHIRtoCCDAImmunizationRefusal",
  "title" : "FHIR Immunization Status Reason to C-CDA Immunization Refusal",
  "status" : "active",
  "experimental" : false,
  "date" : "2023-03-27T20:45:24+00:00",
  "publisher" : "HL7 Structured Documents Working Group",
  "contact" : [
    {
      "name" : "HL7 Structured Documents Working Group",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hl7.org/Special/committees/structure/index.cfm"
        }
      ]
    }
  ],
  "description" : "FHIR Immunization Status Reason to C-CDA Immunization Refusal",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "sourceUri" : "http://hl7.org/fhir/ValueSet/immunization-status-reason",
  "targetUri" : "https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.19717",
  "group" : [
    {
      "source" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
      "target" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
      "element" : [
        {
          "code" : "IMMUNE",
          "display" : "immunity",
          "target" : [
            {
              "code" : "IMMUNE",
              "display" : "immunity",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "MEDPREC",
          "display" : "medical precaution",
          "target" : [
            {
              "code" : "MEDPREC",
              "display" : "medical precaution",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "OSTOCK",
          "display" : "product out of stock",
          "target" : [
            {
              "code" : "OSTOCK",
              "display" : "product out of stock",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "PATOBJ",
          "display" : "patient objection",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "equivalent"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://snomed.info/sct",
      "target" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
      "element" : [
        {
          "code" : "171257003",
          "display" : "No consent - Tetanus/low dose diphtheria vaccine",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "171265000",
          "display" : "Pertussis vaccine refused",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "171266004",
          "display" : "No consent - diphtheria immunization",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "171267008",
          "display" : "No consent - tetanus immunization",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "171268003",
          "display" : "Polio immunization refused",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "171269006",
          "display" : "No consent - measles immunization",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "171270007",
          "display" : "No consent - rubella immunization",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "171271006",
          "display" : "No consent - BCG",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "171272004",
          "display" : "No consent - influenza immunization",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "171280006",
          "display" : "No consent for MMR",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "171283008",
          "display" : "No consent for any primary immunization",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "171285001",
          "display" : "No consent - pre-school vaccinations",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "171286000",
          "display" : "No consent - school exit vaccinations",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "171291004",
          "display" : "No consent - Haemophilus influenzae type B immunization",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "171292006",
          "display" : "No consent pneumococcal immunization",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "171293001",
          "display" : "No consent for MR - Measles/rubella vaccine",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "268559007",
          "display" : "No consent for any immunization",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "310839003",
          "display" : "No consent for MMR1",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "310840001",
          "display" : "No consent for second measles, mumps and rubella vaccine",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "314768003",
          "display" : "No consent diphtheria, tetanus, pertussis immunization",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "314769006",
          "display" : "No consent tetanus plus diphtheria immunization",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "314936001",
          "display" : "No consent for meningitis C immunization",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "407598009",
          "display" : "No consent for 3rd HIB booster",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        }
      ]
    }
  ]
}