US Veterans Health Administration FHIR Map Set Implementation Guide
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: VF_immunizationStatusReason - JSON Representation

Active as of 2025-03-31

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{
  "resourceType" : "ConceptMap",
  "id" : "VF-immunizationStatusReason",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap VF-immunizationStatusReason</b></p><a name=\"VF-immunizationStatusReason\"> </a><a name=\"hcVF-immunizationStatusReason\"> </a><a name=\"VF-immunizationStatusReason-en-US\"> </a><p>Mapping from <a href=\"ValueSet-immunizationStatusReason-vista.html\">immunizationStatusReason VistA</a> to <a href=\"ValueSet-immunizationStatusReason.html\">immunizationStatusReason FHIR</a></p><br/><p><b>Group 1 </b>Mapping from <code>http://va.gov/terminology/vistaDefinedTerms/50.65-.02</code> to <a href=\"http://terminology.hl7.org/6.2.0/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>DECLINED_FLU_IMM__HISTORICAL_ (DECLINED FLU IMM (HISTORICAL))</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>DECLINED_PNEUMOCOCCAL__HISTORICAL_ (DECLINED PNEUMOCOCCAL (HISTORICAL))</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>DECLINED_TETANUS_DIPT__HISTORICAL_ (DECLINED TETANUS/DIPT (HISTORICAL))</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>DECLINES_FLU_VAX__HISTORICAL_ (DECLINES FLU VAX (HISTORICAL))</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>DECLINES_PNEUMOVAX__HISTORICAL_ (DECLINES PNEUMOVAX (HISTORICAL))</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>FLU_REFUSED__HISTORICAL_ (FLU REFUSED (HISTORICAL))</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>FLU_VAC_NOT_AVAILABLE__HISTORICAL_ (FLU VAC NOT AVAILABLE (HISTORICAL))</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>FLU_VACCINE_REFUSED__HISTORICAL_ (FLU VACCINE REFUSED (HISTORICAL))</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>INFLUENZA_CONTRAINDICATED__HISTORICAL_ (INFLUENZA CONTRAINDICATED (HISTORICAL))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider\" title=\"wider\">maps to wider concept</a></td><td>MEDPREC (medical precaution)</td></tr><tr><td>INFLUENZA_CONTRAINDICATED__PERM___HISTORICAL_ (INFLUENZA CONTRAINDICATED (PERM) (HISTORICAL))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider\" title=\"wider\">maps to wider concept</a></td><td>MEDPREC (medical precaution)</td></tr><tr><td>INFLUENZA_REFUSED_DECLINED__HISTORICAL_ (INFLUENZA REFUSED/DECLINED (HISTORICAL))</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>Influenza_Vaccination__Refused___HISTORICAL_ (Influenza Vaccination (Refused) (HISTORICAL))</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>INFLUENZA_VACCINE_CONTRAINDICATED__HISTORICAL_ (INFLUENZA VACCINE CONTRAINDICATED (HISTORICAL))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider\" title=\"wider\">maps to wider concept</a></td><td>MEDPREC (medical precaution)</td></tr><tr><td>PNEUMOCOCCAL_REFUSED__HISTORICAL_ (PNEUMOCOCCAL REFUSED (HISTORICAL))</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>PNEUMOVAX_CONTRAINDICATED__HISTORICAL_ (PNEUMOVAX CONTRAINDICATED (HISTORICAL))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider\" title=\"wider\">maps to wider concept</a></td><td>MEDPREC (medical precaution)</td></tr><tr><td>PNEUMOVAX_DECLINED__HISTORICAL_ (PNEUMOVAX DECLINED (HISTORICAL))</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>PNEUMOVAX_REFUSED__HISTORICAL_ (PNEUMOVAX REFUSED (HISTORICAL))</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>PNEUMOVAX_REFUSED_DECLINED__HISTORICAL_ (PNEUMOVAX REFUSED/DECLINED (HISTORICAL))</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>REFUSED_FLU__HISTORICAL_ (REFUSED FLU (HISTORICAL))</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>REFUSED_HPV_VACCINE__HISTORICAL_ (REFUSED HPV VACCINE (HISTORICAL))</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>REFUSED_INFLUENZA_VACCINE__HISTORICAL_ (REFUSED INFLUENZA VACCINE (HISTORICAL))</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>REFUSED_PNEUMOVAX__HISTORICAL_ (REFUSED PNEUMOVAX (HISTORICAL))</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>REFUSED_TETANUS__HISTORICAL_ (REFUSED TETANUS (HISTORICAL))</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>REFUSED_INFLUENZA__HISTORICAL_ (REFUSED-INFLUENZA (HISTORICAL))</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>TET_TOX_CONTRAINDICATED__HISTORICAL_ (TET TOX CONTRAINDICATED (HISTORICAL))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider\" title=\"wider\">maps to wider concept</a></td><td>MEDPREC (medical precaution)</td></tr><tr><td>TETANUS_CONTRAINDICATED__HISTORICAL_ (TETANUS CONTRAINDICATED (HISTORICAL))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider\" title=\"wider\">maps to wider concept</a></td><td>MEDPREC (medical precaution)</td></tr><tr><td>TETANUS_DIPHTHERIA_VACCINE_NOT_AVAILABLE__HISTORICAL_ (TETANUS DIPHTHERIA-VACCINE NOT AVAILABLE (HISTORICAL))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider\" title=\"wider\">maps to wider concept</a></td><td>OSTOCK (product out of stock)</td></tr><tr><td>TETANUS_REFUSED__HISTORICAL_ (TETANUS REFUSED (HISTORICAL))</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>V__INFLUENZA_NOT_AVAILABLE__HISTORICAL_ (V7-INFLUENZA NOT AVAILABLE (HISTORICAL))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider\" title=\"wider\">maps to wider concept</a></td><td>OSTOCK (product out of stock)</td></tr><tr><td>V__PNEUMOVAX_NOT_AVAILABLE__HISTORICAL_ (V7-PNEUMOVAX NOT AVAILABLE (HISTORICAL))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider\" title=\"wider\">maps to wider concept</a></td><td>OSTOCK (product out of stock)</td></tr><tr><td>ZZPNEUMOCOCCAL_REFUSED__HISTORICAL_ (ZZPNEUMOCOCCAL REFUSED (HISTORICAL))</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>"
  },
  "url" : "http://va.gov/fhir/ConceptMap/VF-immunizationStatusReason",
  "version" : "1.3.1",
  "name" : "VF_immunizationStatusReason",
  "title" : "VF_immunizationStatusReason",
  "status" : "active",
  "experimental" : false,
  "date" : "2025-03-31T14:29:33+00:00",
  "publisher" : "VA",
  "contact" : [
    {
      "name" : "VA",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.va.gov"
        }
      ]
    }
  ],
  "description" : "Terminology Maps VF_immunizationStatusReason",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "sourceCanonical" : "http://va.gov/fhir/ValueSet/immunizationStatusReason-vista",
  "targetCanonical" : "http://va.gov/fhir/ValueSet/immunizationStatusReason",
  "group" : [
    {
      "source" : "http://va.gov/terminology/vistaDefinedTerms/50.65-.02",
      "target" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
      "element" : [
        {
          "code" : "DECLINED_FLU_IMM__HISTORICAL_",
          "display" : "DECLINED FLU IMM (HISTORICAL)",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "DECLINED_PNEUMOCOCCAL__HISTORICAL_",
          "display" : "DECLINED PNEUMOCOCCAL (HISTORICAL)",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "DECLINED_TETANUS_DIPT__HISTORICAL_",
          "display" : "DECLINED TETANUS/DIPT (HISTORICAL)",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "DECLINES_FLU_VAX__HISTORICAL_",
          "display" : "DECLINES FLU VAX (HISTORICAL)",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "DECLINES_PNEUMOVAX__HISTORICAL_",
          "display" : "DECLINES PNEUMOVAX (HISTORICAL)",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "FLU_REFUSED__HISTORICAL_",
          "display" : "FLU REFUSED (HISTORICAL)",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "FLU_VAC_NOT_AVAILABLE__HISTORICAL_",
          "display" : "FLU VAC NOT AVAILABLE (HISTORICAL)",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "FLU_VACCINE_REFUSED__HISTORICAL_",
          "display" : "FLU VACCINE REFUSED (HISTORICAL)",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "INFLUENZA_CONTRAINDICATED__HISTORICAL_",
          "display" : "INFLUENZA CONTRAINDICATED (HISTORICAL)",
          "target" : [
            {
              "code" : "MEDPREC",
              "display" : "medical precaution",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "INFLUENZA_CONTRAINDICATED__PERM___HISTORICAL_",
          "display" : "INFLUENZA CONTRAINDICATED (PERM) (HISTORICAL)",
          "target" : [
            {
              "code" : "MEDPREC",
              "display" : "medical precaution",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "INFLUENZA_REFUSED_DECLINED__HISTORICAL_",
          "display" : "INFLUENZA REFUSED/DECLINED (HISTORICAL)",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "Influenza_Vaccination__Refused___HISTORICAL_",
          "display" : "Influenza Vaccination (Refused) (HISTORICAL)",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "INFLUENZA_VACCINE_CONTRAINDICATED__HISTORICAL_",
          "display" : "INFLUENZA VACCINE CONTRAINDICATED (HISTORICAL)",
          "target" : [
            {
              "code" : "MEDPREC",
              "display" : "medical precaution",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "PNEUMOCOCCAL_REFUSED__HISTORICAL_",
          "display" : "PNEUMOCOCCAL REFUSED (HISTORICAL)",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "PNEUMOVAX_CONTRAINDICATED__HISTORICAL_",
          "display" : "PNEUMOVAX CONTRAINDICATED (HISTORICAL)",
          "target" : [
            {
              "code" : "MEDPREC",
              "display" : "medical precaution",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "PNEUMOVAX_DECLINED__HISTORICAL_",
          "display" : "PNEUMOVAX DECLINED (HISTORICAL)",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "PNEUMOVAX_REFUSED__HISTORICAL_",
          "display" : "PNEUMOVAX REFUSED (HISTORICAL)",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "PNEUMOVAX_REFUSED_DECLINED__HISTORICAL_",
          "display" : "PNEUMOVAX REFUSED/DECLINED (HISTORICAL)",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "REFUSED_FLU__HISTORICAL_",
          "display" : "REFUSED FLU (HISTORICAL)",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "REFUSED_HPV_VACCINE__HISTORICAL_",
          "display" : "REFUSED HPV VACCINE (HISTORICAL)",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "REFUSED_INFLUENZA_VACCINE__HISTORICAL_",
          "display" : "REFUSED INFLUENZA VACCINE (HISTORICAL)",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "REFUSED_PNEUMOVAX__HISTORICAL_",
          "display" : "REFUSED PNEUMOVAX (HISTORICAL)",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "REFUSED_TETANUS__HISTORICAL_",
          "display" : "REFUSED TETANUS (HISTORICAL)",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "REFUSED_INFLUENZA__HISTORICAL_",
          "display" : "REFUSED-INFLUENZA (HISTORICAL)",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "TET_TOX_CONTRAINDICATED__HISTORICAL_",
          "display" : "TET TOX CONTRAINDICATED (HISTORICAL)",
          "target" : [
            {
              "code" : "MEDPREC",
              "display" : "medical precaution",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "TETANUS_CONTRAINDICATED__HISTORICAL_",
          "display" : "TETANUS CONTRAINDICATED (HISTORICAL)",
          "target" : [
            {
              "code" : "MEDPREC",
              "display" : "medical precaution",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "TETANUS_DIPHTHERIA_VACCINE_NOT_AVAILABLE__HISTORICAL_",
          "display" : "TETANUS DIPHTHERIA-VACCINE NOT AVAILABLE (HISTORICAL)",
          "target" : [
            {
              "code" : "OSTOCK",
              "display" : "product out of stock",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "TETANUS_REFUSED__HISTORICAL_",
          "display" : "TETANUS REFUSED (HISTORICAL)",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "V__INFLUENZA_NOT_AVAILABLE__HISTORICAL_",
          "display" : "V7-INFLUENZA NOT AVAILABLE (HISTORICAL)",
          "target" : [
            {
              "code" : "OSTOCK",
              "display" : "product out of stock",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "V__PNEUMOVAX_NOT_AVAILABLE__HISTORICAL_",
          "display" : "V7-PNEUMOVAX NOT AVAILABLE (HISTORICAL)",
          "target" : [
            {
              "code" : "OSTOCK",
              "display" : "product out of stock",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "ZZPNEUMOCOCCAL_REFUSED__HISTORICAL_",
          "display" : "ZZPNEUMOCOCCAL REFUSED (HISTORICAL)",
          "target" : [
            {
              "code" : "PATOBJ",
              "display" : "patient objection",
              "equivalence" : "wider"
            }
          ]
        }
      ]
    }
  ]
}