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

ConceptMap: FHIR Immunization Status Reason to C-CDA Immunization Refusal

Official URL: http://hl7.org/fhir/us/ccda/ConceptMap/FC-ImmunizationRefusal Version: 1.2.0-ballot
Active as of 2023-03-27 Computable Name: FHIRtoCCDAImmunizationRefusal

FHIR Immunization Status Reason to C-CDA Immunization Refusal

FHIRtoCCDAImmunizationRefusal (http://hl7.org/fhir/us/ccda/ConceptMap/FC-ImmunizationRefusal)

Mapping from Immunization Status Reason Codes to https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.19717

ACTIVE. Published on 2023-03-27 20:45:24+0000 by HL7 Structured Documents Working Group (HL7 Structured Documents Working Group: http://hl7.org/Special/committ...).

FHIR Immunization Status Reason to C-CDA Immunization Refusal


Group 1Mapping from ActReason to ActReason

Source CodeRelationshipTarget Code
IMMUNE (immunity)is equivalent toIMMUNE (immunity)
MEDPREC (medical precaution)is equivalent toMEDPREC (medical precaution)
OSTOCK (product out of stock)is equivalent toOSTOCK (product out of stock)
PATOBJ (patient objection)is equivalent toPATOBJ (patient objection)

Group 2Mapping from SNOMED CT (all versions) to ActReason

Source CodeRelationshipTarget Code
171257003 (No consent - Tetanus/low dose diphtheria vaccine)maps to wider conceptPATOBJ (patient objection)
171265000 (Pertussis vaccine refused)maps to wider conceptPATOBJ (patient objection)
171266004 (No consent - diphtheria immunization)maps to wider conceptPATOBJ (patient objection)
171267008 (No consent - tetanus immunization)maps to wider conceptPATOBJ (patient objection)
171268003 (Polio immunization refused)maps to wider conceptPATOBJ (patient objection)
171269006 (No consent - measles immunization)maps to wider conceptPATOBJ (patient objection)
171270007 (No consent - rubella immunization)maps to wider conceptPATOBJ (patient objection)
171271006 (No consent - BCG)maps to wider conceptPATOBJ (patient objection)
171272004 (No consent - influenza immunization)maps to wider conceptPATOBJ (patient objection)
171280006 (No consent for MMR)maps to wider conceptPATOBJ (patient objection)
171283008 (No consent for any primary immunization)maps to wider conceptPATOBJ (patient objection)
171285001 (No consent - pre-school vaccinations)maps to wider conceptPATOBJ (patient objection)
171286000 (No consent - school exit vaccinations)maps to wider conceptPATOBJ (patient objection)
171291004 (No consent - Haemophilus influenzae type B immunization)maps to wider conceptPATOBJ (patient objection)
171292006 (No consent pneumococcal immunization)maps to wider conceptPATOBJ (patient objection)
171293001 (No consent for MR - Measles/rubella vaccine)maps to wider conceptPATOBJ (patient objection)
268559007 (No consent for any immunization)maps to wider conceptPATOBJ (patient objection)
310839003 (No consent for MMR1)maps to wider conceptPATOBJ (patient objection)
310840001 (No consent for second measles, mumps and rubella vaccine)maps to wider conceptPATOBJ (patient objection)
314768003 (No consent diphtheria, tetanus, pertussis immunization)maps to wider conceptPATOBJ (patient objection)
314769006 (No consent tetanus plus diphtheria immunization)maps to wider conceptPATOBJ (patient objection)
314936001 (No consent for meningitis C immunization)maps to wider conceptPATOBJ (patient objection)
407598009 (No consent for 3rd HIB booster)maps to wider conceptPATOBJ (patient objection)