US Veterans Health Administration FHIR Map Set Implementation Guide
1.3.1 - 250401
US Veterans Health Administration FHIR Map Set Implementation Guide
1.3.1 - 250401
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| Active as of 2025-03-31 |
<ConceptMap xmlns="http://hl7.org/fhir">
<id value="VF-immunizationStatusReason"/>
<text>
<status value="generated"/>
<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>
</text>
<url value="http://va.gov/fhir/ConceptMap/VF-immunizationStatusReason"/>
<version value="1.3.1"/>
<name value="VF_immunizationStatusReason"/>
<title value="VF_immunizationStatusReason"/>
<status value="active"/>
<experimental value="false"/>
<date value="2025-03-31T14:29:33+00:00"/>
<publisher value="VA"/>
<contact>
<name value="VA"/>
<telecom>
<system value="url"/>
<value value="https://www.va.gov"/>
</telecom>
</contact>
<description value="Terminology Maps VF_immunizationStatusReason"/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
<display value="United States of America"/>
</coding>
</jurisdiction>
<sourceCanonical
value="http://va.gov/fhir/ValueSet/immunizationStatusReason-vista"/>
<targetCanonical
value="http://va.gov/fhir/ValueSet/immunizationStatusReason"/>
<group>
<source value="http://va.gov/terminology/vistaDefinedTerms/50.65-.02"/>
<target value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<element>
<code value="DECLINED_FLU_IMM__HISTORICAL_"/>
<display value="DECLINED FLU IMM (HISTORICAL)"/>
<target>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="DECLINED_PNEUMOCOCCAL__HISTORICAL_"/>
<display value="DECLINED PNEUMOCOCCAL (HISTORICAL)"/>
<target>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="DECLINED_TETANUS_DIPT__HISTORICAL_"/>
<display value="DECLINED TETANUS/DIPT (HISTORICAL)"/>
<target>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="DECLINES_FLU_VAX__HISTORICAL_"/>
<display value="DECLINES FLU VAX (HISTORICAL)"/>
<target>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="DECLINES_PNEUMOVAX__HISTORICAL_"/>
<display value="DECLINES PNEUMOVAX (HISTORICAL)"/>
<target>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="FLU_REFUSED__HISTORICAL_"/>
<display value="FLU REFUSED (HISTORICAL)"/>
<target>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="FLU_VAC_NOT_AVAILABLE__HISTORICAL_"/>
<display value="FLU VAC NOT AVAILABLE (HISTORICAL)"/>
<target>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="FLU_VACCINE_REFUSED__HISTORICAL_"/>
<display value="FLU VACCINE REFUSED (HISTORICAL)"/>
<target>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="INFLUENZA_CONTRAINDICATED__HISTORICAL_"/>
<display value="INFLUENZA CONTRAINDICATED (HISTORICAL)"/>
<target>
<code value="MEDPREC"/>
<display value="medical precaution"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="INFLUENZA_CONTRAINDICATED__PERM___HISTORICAL_"/>
<display value="INFLUENZA CONTRAINDICATED (PERM) (HISTORICAL)"/>
<target>
<code value="MEDPREC"/>
<display value="medical precaution"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="INFLUENZA_REFUSED_DECLINED__HISTORICAL_"/>
<display value="INFLUENZA REFUSED/DECLINED (HISTORICAL)"/>
<target>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="Influenza_Vaccination__Refused___HISTORICAL_"/>
<display value="Influenza Vaccination (Refused) (HISTORICAL)"/>
<target>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="INFLUENZA_VACCINE_CONTRAINDICATED__HISTORICAL_"/>
<display value="INFLUENZA VACCINE CONTRAINDICATED (HISTORICAL)"/>
<target>
<code value="MEDPREC"/>
<display value="medical precaution"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="PNEUMOCOCCAL_REFUSED__HISTORICAL_"/>
<display value="PNEUMOCOCCAL REFUSED (HISTORICAL)"/>
<target>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="PNEUMOVAX_CONTRAINDICATED__HISTORICAL_"/>
<display value="PNEUMOVAX CONTRAINDICATED (HISTORICAL)"/>
<target>
<code value="MEDPREC"/>
<display value="medical precaution"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="PNEUMOVAX_DECLINED__HISTORICAL_"/>
<display value="PNEUMOVAX DECLINED (HISTORICAL)"/>
<target>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="PNEUMOVAX_REFUSED__HISTORICAL_"/>
<display value="PNEUMOVAX REFUSED (HISTORICAL)"/>
<target>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="PNEUMOVAX_REFUSED_DECLINED__HISTORICAL_"/>
<display value="PNEUMOVAX REFUSED/DECLINED (HISTORICAL)"/>
<target>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="REFUSED_FLU__HISTORICAL_"/>
<display value="REFUSED FLU (HISTORICAL)"/>
<target>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="REFUSED_HPV_VACCINE__HISTORICAL_"/>
<display value="REFUSED HPV VACCINE (HISTORICAL)"/>
<target>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="REFUSED_INFLUENZA_VACCINE__HISTORICAL_"/>
<display value="REFUSED INFLUENZA VACCINE (HISTORICAL)"/>
<target>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="REFUSED_PNEUMOVAX__HISTORICAL_"/>
<display value="REFUSED PNEUMOVAX (HISTORICAL)"/>
<target>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="REFUSED_TETANUS__HISTORICAL_"/>
<display value="REFUSED TETANUS (HISTORICAL)"/>
<target>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="REFUSED_INFLUENZA__HISTORICAL_"/>
<display value="REFUSED-INFLUENZA (HISTORICAL)"/>
<target>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="TET_TOX_CONTRAINDICATED__HISTORICAL_"/>
<display value="TET TOX CONTRAINDICATED (HISTORICAL)"/>
<target>
<code value="MEDPREC"/>
<display value="medical precaution"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="TETANUS_CONTRAINDICATED__HISTORICAL_"/>
<display value="TETANUS CONTRAINDICATED (HISTORICAL)"/>
<target>
<code value="MEDPREC"/>
<display value="medical precaution"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="TETANUS_DIPHTHERIA_VACCINE_NOT_AVAILABLE__HISTORICAL_"/>
<display value="TETANUS DIPHTHERIA-VACCINE NOT AVAILABLE (HISTORICAL)"/>
<target>
<code value="OSTOCK"/>
<display value="product out of stock"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="TETANUS_REFUSED__HISTORICAL_"/>
<display value="TETANUS REFUSED (HISTORICAL)"/>
<target>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="V__INFLUENZA_NOT_AVAILABLE__HISTORICAL_"/>
<display value="V7-INFLUENZA NOT AVAILABLE (HISTORICAL)"/>
<target>
<code value="OSTOCK"/>
<display value="product out of stock"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="V__PNEUMOVAX_NOT_AVAILABLE__HISTORICAL_"/>
<display value="V7-PNEUMOVAX NOT AVAILABLE (HISTORICAL)"/>
<target>
<code value="OSTOCK"/>
<display value="product out of stock"/>
<equivalence value="wider"/>
</target>
</element>
<element>
<code value="ZZPNEUMOCOCCAL_REFUSED__HISTORICAL_"/>
<display value="ZZPNEUMOCOCCAL REFUSED (HISTORICAL)"/>
<target>
<code value="PATOBJ"/>
<display value="patient objection"/>
<equivalence value="wider"/>
</target>
</element>
</group>
</ConceptMap>