{
  "description": "FHIR Immunization Status Reason to C-CDA Immunization Refusal",
  "_filename": "ConceptMap-FC-ImmunizationRefusal.json",
  "package_name": "hl7.fhir.us.ccda.r4b",
  "date": "2024-03-12T19:27:21+00:00",
  "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",
      "target": [ {
        "code": "IMMUNE",
        "display": "immunity",
        "equivalence": "equivalent",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "equivalent"
        } ]
      } ],
      "display": "immunity"
    }, {
      "code": "MEDPREC",
      "target": [ {
        "code": "MEDPREC",
        "display": "medical precaution",
        "equivalence": "equivalent",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "equivalent"
        } ]
      } ],
      "display": "medical precaution"
    }, {
      "code": "OSTOCK",
      "target": [ {
        "code": "OSTOCK",
        "display": "product out of stock",
        "equivalence": "equivalent",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "equivalent"
        } ]
      } ],
      "display": "product out of stock"
    }, {
      "code": "PATOBJ",
      "target": [ {
        "code": "PATOBJ",
        "display": "patient objection",
        "equivalence": "equivalent",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "equivalent"
        } ]
      } ],
      "display": "patient objection"
    } ]
  }, {
    "source": "http://snomed.info/sct",
    "target": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
    "element": [ {
      "code": "171257003",
      "target": [ {
        "code": "PATOBJ",
        "display": "patient objection",
        "equivalence": "wider",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "wider"
        } ]
      } ],
      "display": "No consent - Tetanus/low dose diphtheria vaccine"
    }, {
      "code": "171265000",
      "target": [ {
        "code": "PATOBJ",
        "display": "patient objection",
        "equivalence": "wider",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "wider"
        } ]
      } ],
      "display": "Pertussis vaccine refused"
    }, {
      "code": "171266004",
      "target": [ {
        "code": "PATOBJ",
        "display": "patient objection",
        "equivalence": "wider",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "wider"
        } ]
      } ],
      "display": "No consent - diphtheria immunization"
    }, {
      "code": "171267008",
      "target": [ {
        "code": "PATOBJ",
        "display": "patient objection",
        "equivalence": "wider",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "wider"
        } ]
      } ],
      "display": "No consent - tetanus immunization"
    }, {
      "code": "171268003",
      "target": [ {
        "code": "PATOBJ",
        "display": "patient objection",
        "equivalence": "wider",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "wider"
        } ]
      } ],
      "display": "Polio immunization refused"
    }, {
      "code": "171269006",
      "target": [ {
        "code": "PATOBJ",
        "display": "patient objection",
        "equivalence": "wider",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "wider"
        } ]
      } ],
      "display": "No consent - measles immunization"
    }, {
      "code": "171270007",
      "target": [ {
        "code": "PATOBJ",
        "display": "patient objection",
        "equivalence": "wider",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "wider"
        } ]
      } ],
      "display": "No consent - rubella immunization"
    }, {
      "code": "171271006",
      "target": [ {
        "code": "PATOBJ",
        "display": "patient objection",
        "equivalence": "wider",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "wider"
        } ]
      } ],
      "display": "No consent - BCG"
    }, {
      "code": "171272004",
      "target": [ {
        "code": "PATOBJ",
        "display": "patient objection",
        "equivalence": "wider",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "wider"
        } ]
      } ],
      "display": "No consent - influenza immunization"
    }, {
      "code": "171280006",
      "target": [ {
        "code": "PATOBJ",
        "display": "patient objection",
        "equivalence": "wider",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "wider"
        } ]
      } ],
      "display": "No consent for MMR"
    }, {
      "code": "171283008",
      "target": [ {
        "code": "PATOBJ",
        "display": "patient objection",
        "equivalence": "wider",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "wider"
        } ]
      } ],
      "display": "No consent for any primary immunization"
    }, {
      "code": "171285001",
      "target": [ {
        "code": "PATOBJ",
        "display": "patient objection",
        "equivalence": "wider",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "wider"
        } ]
      } ],
      "display": "No consent - pre-school vaccinations"
    }, {
      "code": "171286000",
      "target": [ {
        "code": "PATOBJ",
        "display": "patient objection",
        "equivalence": "wider",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "wider"
        } ]
      } ],
      "display": "No consent - school exit vaccinations"
    }, {
      "code": "171291004",
      "target": [ {
        "code": "PATOBJ",
        "display": "patient objection",
        "equivalence": "wider",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "wider"
        } ]
      } ],
      "display": "No consent - Haemophilus influenzae type B immunization"
    }, {
      "code": "171292006",
      "target": [ {
        "code": "PATOBJ",
        "display": "patient objection",
        "equivalence": "wider",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "wider"
        } ]
      } ],
      "display": "No consent pneumococcal immunization"
    }, {
      "code": "171293001",
      "target": [ {
        "code": "PATOBJ",
        "display": "patient objection",
        "equivalence": "wider",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "wider"
        } ]
      } ],
      "display": "No consent for MR - Measles/rubella vaccine"
    }, {
      "code": "268559007",
      "target": [ {
        "code": "PATOBJ",
        "display": "patient objection",
        "equivalence": "wider",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "wider"
        } ]
      } ],
      "display": "No consent for any immunization"
    }, {
      "code": "310839003",
      "target": [ {
        "code": "PATOBJ",
        "display": "patient objection",
        "equivalence": "wider",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "wider"
        } ]
      } ],
      "display": "No consent for MMR1"
    }, {
      "code": "310840001",
      "target": [ {
        "code": "PATOBJ",
        "display": "patient objection",
        "equivalence": "wider",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "wider"
        } ]
      } ],
      "display": "No consent for second measles, mumps and rubella vaccine"
    }, {
      "code": "314768003",
      "target": [ {
        "code": "PATOBJ",
        "display": "patient objection",
        "equivalence": "wider",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "wider"
        } ]
      } ],
      "display": "No consent diphtheria, tetanus, pertussis immunization"
    }, {
      "code": "314769006",
      "target": [ {
        "code": "PATOBJ",
        "display": "patient objection",
        "equivalence": "wider",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "wider"
        } ]
      } ],
      "display": "No consent tetanus plus diphtheria immunization"
    }, {
      "code": "314936001",
      "target": [ {
        "code": "PATOBJ",
        "display": "patient objection",
        "equivalence": "wider",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "wider"
        } ]
      } ],
      "display": "No consent for meningitis C immunization"
    }, {
      "code": "407598009",
      "target": [ {
        "code": "PATOBJ",
        "display": "patient objection",
        "equivalence": "wider",
        "modifierExtension": [ {
          "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
          "valueCode": "wider"
        } ]
      } ],
      "display": "No consent for 3rd HIB booster"
    } ]
  } ],
  "publisher": "HL7 International / Cross-Group Projects",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "name": "FHIRtoCCDAImmunizationRefusal",
  "type": null,
  "experimental": "false",
  "resourceType": "ConceptMap",
  "title": "FHIR Immunization Status Reason to C-CDA Immunization Refusal",
  "package_version": "1.2.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode": "cgp"
  } ],
  "status": "active",
  "id": "44149880-2922-460e-ab58-e6cbb9f77f51",
  "kind": null,
  "sourceUri": "http://hl7.org/fhir/ValueSet/immunization-status-reason",
  "url": "http://hl7.org/fhir/us/ccda/ConceptMap/FC-ImmunizationRefusal",
  "version": "1.2.0",
  "contact": [ {
    "name": "HL7 International / Cross-Group Projects",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/cgp",
      "system": "url"
    } ]
  } ]
}