C-CDA on FHIR
2.0.0-ballot - STU 2 Ballot

C-CDA on FHIR, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ccda-on-fhir/ and changes regularly. 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: 2.0.0-ballot
Standards status: Trial-use | Computable Name: FHIRtoCCDAImmunizationRefusal

FHIR Immunization Status Reason to C-CDA Immunization Refusal

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)