| Package | hl7.fhir.us.ccda |
| Resource Type | ConceptMap |
| Id | FC-ImmunizationRefusal |
| FHIR Version | R4 |
| Source | http://hl7.org/fhir/us/ccda/https://build.fhir.org/ig/HL7/ccda-on-fhir/ConceptMap-FC-ImmunizationRefusal.html |
| URL | http://hl7.org/fhir/us/ccda/ConceptMap/FC-ImmunizationRefusal |
| Version | 2.0.0-ballot |
| Status | active |
| Date | 2025-07-31T21:42:42+00:00 |
| Name | FHIRtoCCDAImmunizationRefusal |
| Title | FHIR Immunization Status Reason to C-CDA Immunization Refusal |
| Realm | us |
| Authority | hl7 |
| Description | FHIR Immunization Status Reason to C-CDA Immunization Refusal |
No resources found
| CodeSystem | |
| v3-ActReason | ActReason |
| sct | SNOMED CT International Edition |
Note: links and images are rebased to the (stated) source
Generated Narrative: ConceptMap FC-ImmunizationRefusal
Mapping from Immunization Status Reason Codes to https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.19717
Group 1 Mapping from ActReason to ActReason
| Source Code | Relationship | Target Code |
| IMMUNE (immunity) | is equivalent to | IMMUNE (immunity) |
| MEDPREC (medical precaution) | is equivalent to | MEDPREC (medical precaution) |
| OSTOCK (product out of stock) | is equivalent to | OSTOCK (product out of stock) |
| PATOBJ (patient objection) | is equivalent to | PATOBJ (patient objection) |
Group 2 Mapping from SNOMED CT (all versions) to ActReason
| Source Code | Relationship | Target Code |
| 171257003 (No consent - Tetanus/low dose diphtheria vaccine) | maps to wider concept | PATOBJ (patient objection) |
| 171265000 (Pertussis vaccine refused) | maps to wider concept | PATOBJ (patient objection) |
| 171266004 (No consent - diphtheria immunization) | maps to wider concept | PATOBJ (patient objection) |
| 171267008 (No consent - tetanus immunization) | maps to wider concept | PATOBJ (patient objection) |
| 171268003 (Polio immunization refused) | maps to wider concept | PATOBJ (patient objection) |
| 171269006 (No consent - measles immunization) | maps to wider concept | PATOBJ (patient objection) |
| 171270007 (No consent - rubella immunization) | maps to wider concept | PATOBJ (patient objection) |
| 171271006 (No consent - BCG) | maps to wider concept | PATOBJ (patient objection) |
| 171272004 (No consent - influenza immunization) | maps to wider concept | PATOBJ (patient objection) |
| 171280006 (No consent for MMR) | maps to wider concept | PATOBJ (patient objection) |
| 171283008 (No consent for any primary immunization) | maps to wider concept | PATOBJ (patient objection) |
| 171285001 (No consent - pre-school vaccinations) | maps to wider concept | PATOBJ (patient objection) |
| 171286000 (No consent - school exit vaccinations) | maps to wider concept | PATOBJ (patient objection) |
| 171291004 (No consent - Haemophilus influenzae type B immunization) | maps to wider concept | PATOBJ (patient objection) |
| 171292006 (No consent pneumococcal immunization) | maps to wider concept | PATOBJ (patient objection) |
| 171293001 (No consent for MR - Measles/rubella vaccine) | maps to wider concept | PATOBJ (patient objection) |
| 268559007 (No consent for any immunization) | maps to wider concept | PATOBJ (patient objection) |
| 310839003 (No consent for MMR1) | maps to wider concept | PATOBJ (patient objection) |
| 310840001 (No consent for second measles, mumps and rubella vaccine) | maps to wider concept | PATOBJ (patient objection) |
| 314768003 (No consent diphtheria, tetanus, pertussis immunization) | maps to wider concept | PATOBJ (patient objection) |
| 314769006 (No consent tetanus plus diphtheria immunization) | maps to wider concept | PATOBJ (patient objection) |
| 314936001 (No consent for meningitis C immunization) | maps to wider concept | PATOBJ (patient objection) |
| 407598009 (No consent for 3rd HIB booster) | maps to wider concept | PATOBJ (patient objection) |
FHIR{
"resourceType": "ConceptMap",
"id": "FC-ImmunizationRefusal",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "cgp"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use",
"_valueCode": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/us/ccda/ImplementationGuide/hl7.fhir.us.ccda"
}
]
}
}
],
"url": "http://hl7.org/fhir/us/ccda/ConceptMap/FC-ImmunizationRefusal",
"version": "2.0.0-ballot",
"name": "FHIRtoCCDAImmunizationRefusal",
"title": "FHIR Immunization Status Reason to C-CDA Immunization Refusal",
"status": "active",
"experimental": false,
"date": "2025-07-31T21:42:42+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": [
{
"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"
}
]
}
]
}
]
}