C-CDA on FHIR
1.2.0 - STU 1
C-CDA on FHIR
1.2.0 - STU 1
This page is part of the C-CDA on FHIR Implementation Guide (v1.2.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Active as of 2024-03-12 |
{
"resourceType" : "ConceptMap",
"id" : "FC-ImmunizationRefusal",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><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 2024-03-12 19:02:32+0000 by HL7 International / Cross-Group Projects (HL7 International / Cross-Group Projects: <a href=\"http://www.hl7.org/Special/committees/cgp\">http://www.hl7.org/Special/com...</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/5.3.0/CodeSystem-v3-ActReason.html\">ActReason</a> to <a href=\"http://terminology.hl7.org/5.3.0/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/extensions/5.1.0-snapshot1/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/extensions/5.1.0-snapshot1/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/extensions/5.1.0-snapshot1/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/extensions/5.1.0-snapshot1/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/5.3.0/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/extensions/5.1.0-snapshot1/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/extensions/5.1.0-snapshot1/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/extensions/5.1.0-snapshot1/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/extensions/5.1.0-snapshot1/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/extensions/5.1.0-snapshot1/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/extensions/5.1.0-snapshot1/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/extensions/5.1.0-snapshot1/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/extensions/5.1.0-snapshot1/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/extensions/5.1.0-snapshot1/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/extensions/5.1.0-snapshot1/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/extensions/5.1.0-snapshot1/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/extensions/5.1.0-snapshot1/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/extensions/5.1.0-snapshot1/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/extensions/5.1.0-snapshot1/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/extensions/5.1.0-snapshot1/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/extensions/5.1.0-snapshot1/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/extensions/5.1.0-snapshot1/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/extensions/5.1.0-snapshot1/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/extensions/5.1.0-snapshot1/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/extensions/5.1.0-snapshot1/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/extensions/5.1.0-snapshot1/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/extensions/5.1.0-snapshot1/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/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>PATOBJ (patient objection)</td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "cgp"
}
],
"url" : "http://hl7.org/fhir/us/ccda/ConceptMap/FC-ImmunizationRefusal",
"version" : "1.2.0",
"name" : "FHIRtoCCDAImmunizationRefusal",
"title" : "FHIR Immunization Status Reason to C-CDA Immunization Refusal",
"status" : "active",
"experimental" : false,
"date" : "2024-03-12T19:02:32+00:00",
"publisher" : "HL7 International / Cross-Group Projects",
"contact" : [
{
"name" : "HL7 International / Cross-Group Projects",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/cgp"
}
]
}
],
"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" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "IMMUNE",
"display" : "immunity",
"equivalence" : "equivalent"
}
]
},
{
"code" : "MEDPREC",
"display" : "medical precaution",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "MEDPREC",
"display" : "medical precaution",
"equivalence" : "equivalent"
}
]
},
{
"code" : "OSTOCK",
"display" : "product out of stock",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "OSTOCK",
"display" : "product out of stock",
"equivalence" : "equivalent"
}
]
},
{
"code" : "PATOBJ",
"display" : "patient objection",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"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" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "wider"
}
],
"code" : "PATOBJ",
"display" : "patient objection",
"equivalence" : "wider"
}
]
},
{
"code" : "171265000",
"display" : "Pertussis vaccine refused",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "wider"
}
],
"code" : "PATOBJ",
"display" : "patient objection",
"equivalence" : "wider"
}
]
},
{
"code" : "171266004",
"display" : "No consent - diphtheria immunization",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "wider"
}
],
"code" : "PATOBJ",
"display" : "patient objection",
"equivalence" : "wider"
}
]
},
{
"code" : "171267008",
"display" : "No consent - tetanus immunization",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "wider"
}
],
"code" : "PATOBJ",
"display" : "patient objection",
"equivalence" : "wider"
}
]
},
{
"code" : "171268003",
"display" : "Polio immunization refused",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "wider"
}
],
"code" : "PATOBJ",
"display" : "patient objection",
"equivalence" : "wider"
}
]
},
{
"code" : "171269006",
"display" : "No consent - measles immunization",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "wider"
}
],
"code" : "PATOBJ",
"display" : "patient objection",
"equivalence" : "wider"
}
]
},
{
"code" : "171270007",
"display" : "No consent - rubella immunization",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "wider"
}
],
"code" : "PATOBJ",
"display" : "patient objection",
"equivalence" : "wider"
}
]
},
{
"code" : "171271006",
"display" : "No consent - BCG",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "wider"
}
],
"code" : "PATOBJ",
"display" : "patient objection",
"equivalence" : "wider"
}
]
},
{
"code" : "171272004",
"display" : "No consent - influenza immunization",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "wider"
}
],
"code" : "PATOBJ",
"display" : "patient objection",
"equivalence" : "wider"
}
]
},
{
"code" : "171280006",
"display" : "No consent for MMR",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "wider"
}
],
"code" : "PATOBJ",
"display" : "patient objection",
"equivalence" : "wider"
}
]
},
{
"code" : "171283008",
"display" : "No consent for any primary immunization",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "wider"
}
],
"code" : "PATOBJ",
"display" : "patient objection",
"equivalence" : "wider"
}
]
},
{
"code" : "171285001",
"display" : "No consent - pre-school vaccinations",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "wider"
}
],
"code" : "PATOBJ",
"display" : "patient objection",
"equivalence" : "wider"
}
]
},
{
"code" : "171286000",
"display" : "No consent - school exit vaccinations",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "wider"
}
],
"code" : "PATOBJ",
"display" : "patient objection",
"equivalence" : "wider"
}
]
},
{
"code" : "171291004",
"display" : "No consent - Haemophilus influenzae type B immunization",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "wider"
}
],
"code" : "PATOBJ",
"display" : "patient objection",
"equivalence" : "wider"
}
]
},
{
"code" : "171292006",
"display" : "No consent pneumococcal immunization",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "wider"
}
],
"code" : "PATOBJ",
"display" : "patient objection",
"equivalence" : "wider"
}
]
},
{
"code" : "171293001",
"display" : "No consent for MR - Measles/rubella vaccine",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "wider"
}
],
"code" : "PATOBJ",
"display" : "patient objection",
"equivalence" : "wider"
}
]
},
{
"code" : "268559007",
"display" : "No consent for any immunization",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "wider"
}
],
"code" : "PATOBJ",
"display" : "patient objection",
"equivalence" : "wider"
}
]
},
{
"code" : "310839003",
"display" : "No consent for MMR1",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "wider"
}
],
"code" : "PATOBJ",
"display" : "patient objection",
"equivalence" : "wider"
}
]
},
{
"code" : "310840001",
"display" : "No consent for second measles, mumps and rubella vaccine",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "wider"
}
],
"code" : "PATOBJ",
"display" : "patient objection",
"equivalence" : "wider"
}
]
},
{
"code" : "314768003",
"display" : "No consent diphtheria, tetanus, pertussis immunization",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "wider"
}
],
"code" : "PATOBJ",
"display" : "patient objection",
"equivalence" : "wider"
}
]
},
{
"code" : "314769006",
"display" : "No consent tetanus plus diphtheria immunization",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "wider"
}
],
"code" : "PATOBJ",
"display" : "patient objection",
"equivalence" : "wider"
}
]
},
{
"code" : "314936001",
"display" : "No consent for meningitis C immunization",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "wider"
}
],
"code" : "PATOBJ",
"display" : "patient objection",
"equivalence" : "wider"
}
]
},
{
"code" : "407598009",
"display" : "No consent for 3rd HIB booster",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "wider"
}
],
"code" : "PATOBJ",
"display" : "patient objection",
"equivalence" : "wider"
}
]
}
]
}
]
}
IG © 2020+ HL7 International / Cross-Group Projects. Package hl7.fhir.us.ccda#1.2.0 based on FHIR 4.0.1. Generated 2024-03-12
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