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 - TTL Representation

Active as of 2023-03-27

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:ConceptMap ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "FC-ImmunizationRefusal"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir: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>"
  ] ; # 
  fhir:url [ fhir:v "http://hl7.org/fhir/us/ccda/ConceptMap/FC-ImmunizationRefusal"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "1.2.0-ballot"] ; # 
  fhir:name [ fhir:v "FHIRtoCCDAImmunizationRefusal"] ; # 
  fhir:title [ fhir:v "FHIR Immunization Status Reason to C-CDA Immunization Refusal"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v "false"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2023-03-27T20:45:24+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "HL7 Structured Documents Working Group"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "HL7 Structured Documents Working Group" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://hl7.org/Special/committees/structure/index.cfm" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "FHIR Immunization Status Reason to C-CDA Immunization Refusal"] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "US" ]     ] )
  ] ) ; # 
  fhir:source [ fhir:v "http://hl7.org/fhir/ValueSet/immunization-status-reason"^^xsd:anyURI] ; # 
  fhir:target [ fhir:v "https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.19717"^^xsd:anyURI] ; # 
  fhir:group ( [
fhir:source [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
fhir:target [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
    ( fhir:element [
fhir:code [ fhir:v "IMMUNE" ] ;
fhir:display [ fhir:v "immunity" ] ;
      ( fhir:target [
fhir:code [ fhir:v "IMMUNE" ] ;
fhir:display [ fhir:v "immunity" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "MEDPREC" ] ;
fhir:display [ fhir:v "medical precaution" ] ;
      ( fhir:target [
fhir:code [ fhir:v "MEDPREC" ] ;
fhir:display [ fhir:v "medical precaution" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "OSTOCK" ] ;
fhir:display [ fhir:v "product out of stock" ] ;
      ( fhir:target [
fhir:code [ fhir:v "OSTOCK" ] ;
fhir:display [ fhir:v "product out of stock" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "PATOBJ" ] ;
fhir:display [ fhir:v "patient objection" ] ;
      ( fhir:target [
fhir:code [ fhir:v "PATOBJ" ] ;
fhir:display [ fhir:v "patient objection" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] )
  ] [
fhir:source [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:target [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
    ( fhir:element [
fhir:code [ fhir:v "171257003" ] ;
fhir:display [ fhir:v "No consent - Tetanus/low dose diphtheria vaccine" ] ;
      ( fhir:target [
fhir:code [ fhir:v "PATOBJ" ] ;
fhir:display [ fhir:v "patient objection" ] ;
fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
fhir:code [ fhir:v "171265000" ] ;
fhir:display [ fhir:v "Pertussis vaccine refused" ] ;
      ( fhir:target [
fhir:code [ fhir:v "PATOBJ" ] ;
fhir:display [ fhir:v "patient objection" ] ;
fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
fhir:code [ fhir:v "171266004" ] ;
fhir:display [ fhir:v "No consent - diphtheria immunization" ] ;
      ( fhir:target [
fhir:code [ fhir:v "PATOBJ" ] ;
fhir:display [ fhir:v "patient objection" ] ;
fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
fhir:code [ fhir:v "171267008" ] ;
fhir:display [ fhir:v "No consent - tetanus immunization" ] ;
      ( fhir:target [
fhir:code [ fhir:v "PATOBJ" ] ;
fhir:display [ fhir:v "patient objection" ] ;
fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
fhir:code [ fhir:v "171268003" ] ;
fhir:display [ fhir:v "Polio immunization refused" ] ;
      ( fhir:target [
fhir:code [ fhir:v "PATOBJ" ] ;
fhir:display [ fhir:v "patient objection" ] ;
fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
fhir:code [ fhir:v "171269006" ] ;
fhir:display [ fhir:v "No consent - measles immunization" ] ;
      ( fhir:target [
fhir:code [ fhir:v "PATOBJ" ] ;
fhir:display [ fhir:v "patient objection" ] ;
fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
fhir:code [ fhir:v "171270007" ] ;
fhir:display [ fhir:v "No consent - rubella immunization" ] ;
      ( fhir:target [
fhir:code [ fhir:v "PATOBJ" ] ;
fhir:display [ fhir:v "patient objection" ] ;
fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
fhir:code [ fhir:v "171271006" ] ;
fhir:display [ fhir:v "No consent - BCG" ] ;
      ( fhir:target [
fhir:code [ fhir:v "PATOBJ" ] ;
fhir:display [ fhir:v "patient objection" ] ;
fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
fhir:code [ fhir:v "171272004" ] ;
fhir:display [ fhir:v "No consent - influenza immunization" ] ;
      ( fhir:target [
fhir:code [ fhir:v "PATOBJ" ] ;
fhir:display [ fhir:v "patient objection" ] ;
fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
fhir:code [ fhir:v "171280006" ] ;
fhir:display [ fhir:v "No consent for MMR" ] ;
      ( fhir:target [
fhir:code [ fhir:v "PATOBJ" ] ;
fhir:display [ fhir:v "patient objection" ] ;
fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
fhir:code [ fhir:v "171283008" ] ;
fhir:display [ fhir:v "No consent for any primary immunization" ] ;
      ( fhir:target [
fhir:code [ fhir:v "PATOBJ" ] ;
fhir:display [ fhir:v "patient objection" ] ;
fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
fhir:code [ fhir:v "171285001" ] ;
fhir:display [ fhir:v "No consent - pre-school vaccinations" ] ;
      ( fhir:target [
fhir:code [ fhir:v "PATOBJ" ] ;
fhir:display [ fhir:v "patient objection" ] ;
fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
fhir:code [ fhir:v "171286000" ] ;
fhir:display [ fhir:v "No consent - school exit vaccinations" ] ;
      ( fhir:target [
fhir:code [ fhir:v "PATOBJ" ] ;
fhir:display [ fhir:v "patient objection" ] ;
fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
fhir:code [ fhir:v "171291004" ] ;
fhir:display [ fhir:v "No consent - Haemophilus influenzae type B immunization" ] ;
      ( fhir:target [
fhir:code [ fhir:v "PATOBJ" ] ;
fhir:display [ fhir:v "patient objection" ] ;
fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
fhir:code [ fhir:v "171292006" ] ;
fhir:display [ fhir:v "No consent pneumococcal immunization" ] ;
      ( fhir:target [
fhir:code [ fhir:v "PATOBJ" ] ;
fhir:display [ fhir:v "patient objection" ] ;
fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
fhir:code [ fhir:v "171293001" ] ;
fhir:display [ fhir:v "No consent for MR - Measles/rubella vaccine" ] ;
      ( fhir:target [
fhir:code [ fhir:v "PATOBJ" ] ;
fhir:display [ fhir:v "patient objection" ] ;
fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
fhir:code [ fhir:v "268559007" ] ;
fhir:display [ fhir:v "No consent for any immunization" ] ;
      ( fhir:target [
fhir:code [ fhir:v "PATOBJ" ] ;
fhir:display [ fhir:v "patient objection" ] ;
fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
fhir:code [ fhir:v "310839003" ] ;
fhir:display [ fhir:v "No consent for MMR1" ] ;
      ( fhir:target [
fhir:code [ fhir:v "PATOBJ" ] ;
fhir:display [ fhir:v "patient objection" ] ;
fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
fhir:code [ fhir:v "310840001" ] ;
fhir:display [ fhir:v "No consent for second measles, mumps and rubella vaccine" ] ;
      ( fhir:target [
fhir:code [ fhir:v "PATOBJ" ] ;
fhir:display [ fhir:v "patient objection" ] ;
fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
fhir:code [ fhir:v "314768003" ] ;
fhir:display [ fhir:v "No consent diphtheria, tetanus, pertussis immunization" ] ;
      ( fhir:target [
fhir:code [ fhir:v "PATOBJ" ] ;
fhir:display [ fhir:v "patient objection" ] ;
fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
fhir:code [ fhir:v "314769006" ] ;
fhir:display [ fhir:v "No consent tetanus plus diphtheria immunization" ] ;
      ( fhir:target [
fhir:code [ fhir:v "PATOBJ" ] ;
fhir:display [ fhir:v "patient objection" ] ;
fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
fhir:code [ fhir:v "314936001" ] ;
fhir:display [ fhir:v "No consent for meningitis C immunization" ] ;
      ( fhir:target [
fhir:code [ fhir:v "PATOBJ" ] ;
fhir:display [ fhir:v "patient objection" ] ;
fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
fhir:code [ fhir:v "407598009" ] ;
fhir:display [ fhir:v "No consent for 3rd HIB booster" ] ;
      ( fhir:target [
fhir:code [ fhir:v "PATOBJ" ] ;
fhir:display [ fhir:v "patient objection" ] ;
fhir:equivalence [ fhir:v "wider" ]       ] )     ] )
  ] ) . #