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 |
<ConceptMap xmlns="http://hl7.org/fhir">
<id value="FC-ImmunizationRefusal"/>
<text>
<status value="extensions"/>
<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>
</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>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="cgp"/>
</extension>
<url value="http://hl7.org/fhir/us/ccda/ConceptMap/FC-ImmunizationRefusal"/>
<version value="1.2.0"/>
<name value="FHIRtoCCDAImmunizationRefusal"/>
<title
value="FHIR Immunization Status Reason to C-CDA Immunization Refusal"/>
<status value="active"/>
<experimental value="false"/>
<date value="2024-03-12T19:02:32+00:00"/>
<publisher value="HL7 International / Cross-Group Projects"/>
<contact>
<name value="HL7 International / Cross-Group Projects"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/cgp"/>
</telecom>
</contact>
<description
value="FHIR Immunization Status Reason to C-CDA Immunization Refusal"/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
</coding>
</jurisdiction>
<sourceUri value="http://hl7.org/fhir/ValueSet/immunization-status-reason"/>
<targetUri
value="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.19717"/>
<group>
<source value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<target value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<element>
<code value="IMMUNE"/>
<display value="immunity"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="IMMUNE"/>
<display value="immunity"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="MEDPREC"/>
<display value="medical precaution"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MEDPREC"/>
<display value="medical precaution"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="OSTOCK"/>
<display value="product out of stock"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="OSTOCK"/>
<display value="product out of stock"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="PATOBJ"/>
<display value="patient objection"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="equivalent"/>
</target>
</element>
</group>
<group>
<source value="http://snomed.info/sct"/>
<target value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<element>
<code value="171257003"/>
<display value="No consent - Tetanus/low dose diphtheria vaccine"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="171265000"/>
<display value="Pertussis vaccine refused"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="171266004"/>
<display value="No consent - diphtheria immunization"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="171267008"/>
<display value="No consent - tetanus immunization"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="171268003"/>
<display value="Polio immunization refused"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="171269006"/>
<display value="No consent - measles immunization"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="171270007"/>
<display value="No consent - rubella immunization"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="171271006"/>
<display value="No consent - BCG"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="171272004"/>
<display value="No consent - influenza immunization"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="171280006"/>
<display value="No consent for MMR"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="171283008"/>
<display value="No consent for any primary immunization"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="171285001"/>
<display value="No consent - pre-school vaccinations"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="171286000"/>
<display value="No consent - school exit vaccinations"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="171291004"/>
<display
value="No consent - Haemophilus influenzae type B immunization"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="171292006"/>
<display value="No consent pneumococcal immunization"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="171293001"/>
<display value="No consent for MR - Measles/rubella vaccine"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="268559007"/>
<display value="No consent for any immunization"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="310839003"/>
<display value="No consent for MMR1"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="310840001"/>
<display
value="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 value="wider"/>
</modifierExtension>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="314768003"/>
<display
value="No consent diphtheria, tetanus, pertussis immunization"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="314769006"/>
<display value="No consent tetanus plus diphtheria immunization"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="314936001"/>
<display value="No consent for meningitis C immunization"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="407598009"/>
<display value="No consent for 3rd HIB booster"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
</group>
</ConceptMap>
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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