US Veterans Health Administration FHIR Map Set Implementation Guide
2.2.0 - 260201
US Veterans Health Administration FHIR Map Set Implementation Guide
2.2.0 - 260201
US Veterans Health Administration FHIR Map Set Implementation Guide - Downloaded Version 2.2.0 See the Directory of published versions
| Active as of 2026-02-02 |
<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><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 <a href="CodeSystem-CSimmunizationStatusReason.html">9999999.14-.01</a> to <a href="http://terminology.hl7.org/7.0.1/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)</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)</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)</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)</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)</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)</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)</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)</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)</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)</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)</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)</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)</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)</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)</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)</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)</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)</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)</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)</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)</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)</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)</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)</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)</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)</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)</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)</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>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>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)</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="2.2.0"/>
<name value="VF_immunizationStatusReason"/>
<title value="VF_immunizationStatusReason"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-02-02T15:46:28+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/fhir/CodeSystem/9999999.14-.01"/>
<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="V7-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="V7-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>