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

## : FHIR Immunization Status Reason to C-CDA Immunization Refusal - TTL Representation

Page standards status: Trial-use

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:ConceptMap ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "FC-ImmunizationRefusal"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap FC-ImmunizationRefusal</b></p><a name=\"FC-ImmunizationRefusal\"> </a><a name=\"hcFC-ImmunizationRefusal\"> </a><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><br/><p><b>Group 1 </b>Mapping from <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActReason.html\">ActReason</a> to <a href=\"http://terminology.hl7.org/6.5.0/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/R5/codesystem-concept-map-relationship.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/R5/codesystem-concept-map-relationship.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/R5/codesystem-concept-map-relationship.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/R5/codesystem-concept-map-relationship.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/6.5.0/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/R5/codesystem-concept-map-relationship.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/R5/codesystem-concept-map-relationship.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/R5/codesystem-concept-map-relationship.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/R5/codesystem-concept-map-relationship.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/R5/codesystem-concept-map-relationship.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/R5/codesystem-concept-map-relationship.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/R5/codesystem-concept-map-relationship.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/R5/codesystem-concept-map-relationship.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/R5/codesystem-concept-map-relationship.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/R5/codesystem-concept-map-relationship.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/R5/codesystem-concept-map-relationship.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/R5/codesystem-concept-map-relationship.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/R5/codesystem-concept-map-relationship.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/R5/codesystem-concept-map-relationship.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/R5/codesystem-concept-map-relationship.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/R5/codesystem-concept-map-relationship.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/R5/codesystem-concept-map-relationship.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/R5/codesystem-concept-map-relationship.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/R5/codesystem-concept-map-relationship.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/R5/codesystem-concept-map-relationship.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/R5/codesystem-concept-map-relationship.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/R5/codesystem-concept-map-relationship.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/R5/codesystem-concept-map-relationship.html#wider\" title=\"wider\">maps to wider concept</a></td><td>PATOBJ (patient objection)</td></tr></table></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:extension ( [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:code ;
    fhir:v "cgp"     ]
      ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:code ;
    fhir:v "trial-use" ;
          ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:canonical ;
    fhir:v "http://hl7.org/fhir/us/ccda/ImplementationGuide/hl7.fhir.us.ccda"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/ccda/ImplementationGuide/hl7.fhir.us.ccda>         ]       ] )     ]
      ] ) ; #
      fhir:url [ fhir:v "http://hl7.org/fhir/us/ccda/ConceptMap/FC-ImmunizationRefusal"^^xsd:anyURI] ; #
      fhir:version [ fhir:v "2.0.0-ballot"] ; #
      fhir:name [ fhir:v "FHIRtoCCDAImmunizationRefusal"] ; #
      fhir:title [ fhir:v "FHIR Immunization Status Reason to C-CDA Immunization Refusal"] ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:experimental [ fhir:v false] ; #
      fhir:date [ fhir:v "2025-07-31T21:42:42+00:00"^^xsd:dateTime] ; #
      fhir:publisher [ fhir:v "HL7 International / Cross-Group Projects"] ; #
      fhir:contact ( [
    fhir:name [ fhir:v "HL7 International / Cross-Group Projects" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "http://www.hl7.org/Special/committees/cgp" ]     ] )
      ] ) ; #
      fhir:description [ fhir:v "FHIR Immunization Status Reason to C-CDA Immunization Refusal"] ; #
      fhir:jurisdiction ( [
        ( fhir:coding [
    fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "US" ]     ] )
      ] ) ; #
      fhir:source [
    a fhir:uri ;
    fhir:v "http://hl7.org/fhir/ValueSet/immunization-status-reason"^^xsd:anyURI
      ] ; #
      fhir:target [
    a fhir:uri ;
    fhir:v "https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.19717"^^xsd:anyURI
      ] ; #
      fhir:group ( [
    fhir:source [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
    fhir:target [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
        ( fhir:element [
    fhir:code [ fhir:v "IMMUNE" ] ;
    fhir:display [ fhir:v "immunity" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "IMMUNE" ] ;
    fhir:display [ fhir:v "immunity" ] ;
    fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
    fhir:code [ fhir:v "MEDPREC" ] ;
    fhir:display [ fhir:v "medical precaution" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "MEDPREC" ] ;
    fhir:display [ fhir:v "medical precaution" ] ;
    fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
    fhir:code [ fhir:v "OSTOCK" ] ;
    fhir:display [ fhir:v "product out of stock" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "OSTOCK" ] ;
    fhir:display [ fhir:v "product out of stock" ] ;
    fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
    fhir:code [ fhir:v "PATOBJ" ] ;
    fhir:display [ fhir:v "patient objection" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "PATOBJ" ] ;
    fhir:display [ fhir:v "patient objection" ] ;
    fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] )
      ] [
    fhir:source [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
    fhir:target [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
        ( fhir:element [
    fhir:code [ fhir:v "171257003" ] ;
    fhir:display [ fhir:v "No consent - Tetanus/low dose diphtheria vaccine" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "PATOBJ" ] ;
    fhir:display [ fhir:v "patient objection" ] ;
    fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
    fhir:code [ fhir:v "171265000" ] ;
    fhir:display [ fhir:v "Pertussis vaccine refused" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "PATOBJ" ] ;
    fhir:display [ fhir:v "patient objection" ] ;
    fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
    fhir:code [ fhir:v "171266004" ] ;
    fhir:display [ fhir:v "No consent - diphtheria immunization" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "PATOBJ" ] ;
    fhir:display [ fhir:v "patient objection" ] ;
    fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
    fhir:code [ fhir:v "171267008" ] ;
    fhir:display [ fhir:v "No consent - tetanus immunization" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "PATOBJ" ] ;
    fhir:display [ fhir:v "patient objection" ] ;
    fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
    fhir:code [ fhir:v "171268003" ] ;
    fhir:display [ fhir:v "Polio immunization refused" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "PATOBJ" ] ;
    fhir:display [ fhir:v "patient objection" ] ;
    fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
    fhir:code [ fhir:v "171269006" ] ;
    fhir:display [ fhir:v "No consent - measles immunization" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "PATOBJ" ] ;
    fhir:display [ fhir:v "patient objection" ] ;
    fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
    fhir:code [ fhir:v "171270007" ] ;
    fhir:display [ fhir:v "No consent - rubella immunization" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "PATOBJ" ] ;
    fhir:display [ fhir:v "patient objection" ] ;
    fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
    fhir:code [ fhir:v "171271006" ] ;
    fhir:display [ fhir:v "No consent - BCG" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "PATOBJ" ] ;
    fhir:display [ fhir:v "patient objection" ] ;
    fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
    fhir:code [ fhir:v "171272004" ] ;
    fhir:display [ fhir:v "No consent - influenza immunization" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "PATOBJ" ] ;
    fhir:display [ fhir:v "patient objection" ] ;
    fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
    fhir:code [ fhir:v "171280006" ] ;
    fhir:display [ fhir:v "No consent for MMR" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "PATOBJ" ] ;
    fhir:display [ fhir:v "patient objection" ] ;
    fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
    fhir:code [ fhir:v "171283008" ] ;
    fhir:display [ fhir:v "No consent for any primary immunization" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "PATOBJ" ] ;
    fhir:display [ fhir:v "patient objection" ] ;
    fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
    fhir:code [ fhir:v "171285001" ] ;
    fhir:display [ fhir:v "No consent - pre-school vaccinations" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "PATOBJ" ] ;
    fhir:display [ fhir:v "patient objection" ] ;
    fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
    fhir:code [ fhir:v "171286000" ] ;
    fhir:display [ fhir:v "No consent - school exit vaccinations" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "PATOBJ" ] ;
    fhir:display [ fhir:v "patient objection" ] ;
    fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
    fhir:code [ fhir:v "171291004" ] ;
    fhir:display [ fhir:v "No consent - Haemophilus influenzae type B immunization" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "PATOBJ" ] ;
    fhir:display [ fhir:v "patient objection" ] ;
    fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
    fhir:code [ fhir:v "171292006" ] ;
    fhir:display [ fhir:v "No consent pneumococcal immunization" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "PATOBJ" ] ;
    fhir:display [ fhir:v "patient objection" ] ;
    fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
    fhir:code [ fhir:v "171293001" ] ;
    fhir:display [ fhir:v "No consent for MR - Measles/rubella vaccine" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "PATOBJ" ] ;
    fhir:display [ fhir:v "patient objection" ] ;
    fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
    fhir:code [ fhir:v "268559007" ] ;
    fhir:display [ fhir:v "No consent for any immunization" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "PATOBJ" ] ;
    fhir:display [ fhir:v "patient objection" ] ;
    fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
    fhir:code [ fhir:v "310839003" ] ;
    fhir:display [ fhir:v "No consent for MMR1" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "PATOBJ" ] ;
    fhir:display [ fhir:v "patient objection" ] ;
    fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
    fhir:code [ fhir:v "310840001" ] ;
    fhir:display [ fhir:v "No consent for second measles, mumps and rubella vaccine" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "PATOBJ" ] ;
    fhir:display [ fhir:v "patient objection" ] ;
    fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
    fhir:code [ fhir:v "314768003" ] ;
    fhir:display [ fhir:v "No consent diphtheria, tetanus, pertussis immunization" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "PATOBJ" ] ;
    fhir:display [ fhir:v "patient objection" ] ;
    fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
    fhir:code [ fhir:v "314769006" ] ;
    fhir:display [ fhir:v "No consent tetanus plus diphtheria immunization" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "PATOBJ" ] ;
    fhir:display [ fhir:v "patient objection" ] ;
    fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
    fhir:code [ fhir:v "314936001" ] ;
    fhir:display [ fhir:v "No consent for meningitis C immunization" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "PATOBJ" ] ;
    fhir:display [ fhir:v "patient objection" ] ;
    fhir:equivalence [ fhir:v "wider" ]       ] )     ] [
    fhir:code [ fhir:v "407598009" ] ;
    fhir:display [ fhir:v "No consent for 3rd HIB booster" ] ;
          ( fhir:target [
    fhir:code [ fhir:v "PATOBJ" ] ;
    fhir:display [ fhir:v "patient objection" ] ;
    fhir:equivalence [ fhir:v "wider" ]       ] )     ] )
      ] ) . #