Release 4 FHIR CI-Build

This page is part of the Continuous Integration Build of FHIR Specification (v4.0.1: R4 - Mixed Normative and STU ) in it's permanent home (it will always (will be available incorrect/inconsistent at this URL). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see times).
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Using Codes Code Systems Value Sets Concept Maps Identifier Systems

4.4.1.39 4.4.1.44 Value Set ValueSet http://hl7.org/fhir/ValueSet/immunization-status-reason

  Maturity Level : 1
Responsible Owner: Public Health and Emergency Response icon Work Group Draft Informative Use Context : Any Country: World
This is a value set defined by the FHIR project. Name:
Official URL : Version: http://hl7.org/fhir/ValueSet/immunization-status-reason 4.0.1 Version : 6.0.0-ballot3
active as of 2025-11-24 Computable Name : ImmunizationStatusReasonCodes
Title: Flags : Immunization Status Reason Codes OID : 2.16.840.1.113883.4.642.3.992

This value set is used in the following places:

Definition:

4.4.1.44.1 Definition

The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the reason why a dose of vaccine was not administered. This value set is provided as a suggestive example.

Committee: Public Health and Emergency Response Work Group OID: 2.16.840.1.113883.4.642.3.992 (for OID based terminology systems) Copyright: This resource includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org Source Resource XML / JSON This value set is used in the following places: Resource: Immunization.statusReason (CodeableConcept / Example )

4.4.1.39.1 4.4.1.44.2 Content Logical Definition

This value set includes codes from the following code systems:

Generated Narrative: ValueSet immunization-status-reason

Last updated: 2025-11-24T20:46:00.1Z

  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-ActReason icon version 📦3.1.0
    Code Display Definition
    IMMUNE icon immunity Definition:Testing **Definition:**Testing has shown that the patient already has immunity to the agent targeted by the immunization.
    MEDPREC icon medical precaution Definition:The **Definition:**The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted.
    OSTOCK icon product out of stock Definition:There **Definition:**There was no supply of the product on hand to perform the service.
    PATOBJ icon patient objection Definition:The **Definition:**The patient or their guardian objects to receiving the vaccine.
    Include codes from PHILISOP icon http://snomed.info/sct philosophical objection **Definition:**The patient or their guardian objects to receiving the vaccine because of philosophical beliefs.
    RELIG icon where concept is-a 310376006 (Immunization consent not given) religious objection **Definition:**The patient or their guardian objects to receiving the vaccine on religious grounds.
    VACEFF icon vaccine efficacy concerns **Definition:**The intended vaccine has expired or is otherwise believed to no longer be effective.

    **Example:**Due to temperature exposure.
    VACSAF icon vaccine safety concerns **Definition:**The patient or their guardian objects to receiving the vaccine because of concerns over its safety.

 

4.4.1.39.2 4.4.1.44.3 Expansion

This expansion generated 01 24 Nov 2019 2025

ValueSet This value set contains 27 concepts

Expansion performed internally based on http://terminology.hl7.org/CodeSystem/v3-ActReason version 2018-08-12 codesystem ActReason v3.1.0 (CodeSystem) icon

This value set contains 8 concepts

171268003 http://snomed.info/sct 171280006 http://snomed.info/sct http://snomed.info/sct No consent - pre-school vaccinations 171291004 http://snomed.info/sct No consent - Haemophilus influenzae type B immunization http://snomed.info/sct 268559007 http://snomed.info/sct No consent for any immunization 310839003 http://snomed.info/sct No consent for MMR1 314768003 http://snomed.info/sct
Code System System Code Display Definition
IMMUNE http://terminology.hl7.org/CodeSystem/v3-ActReason    IMMUNE icon http://terminology.hl7.org/CodeSystem/v3-ActReason immunity Definition:Testing

**Definition:**Testing has shown that the patient already has immunity to the agent targeted by the immunization.

MEDPREC http://terminology.hl7.org/CodeSystem/v3-ActReason    MEDPREC icon http://terminology.hl7.org/CodeSystem/v3-ActReason medical precaution Definition:The

**Definition:**The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted.

OSTOCK http://terminology.hl7.org/CodeSystem/v3-ActReason    OSTOCK icon http://terminology.hl7.org/CodeSystem/v3-ActReason product out of stock Definition:There

**Definition:**There was no supply of the product on hand to perform the service.

PATOBJ http://terminology.hl7.org/CodeSystem/v3-ActReason    PATOBJ icon http://terminology.hl7.org/CodeSystem/v3-ActReason patient objection Definition:The

**Definition:**The patient or their guardian objects to receiving the vaccine. 171257003 http://snomed.info/sct No consent - Tetanus/low dose diphtheria vaccine 171265000 http://snomed.info/sct Pertussis vaccine refused 171266004 http://snomed.info/sct No consent - diphtheria immunization 171267008 http://snomed.info/sct No consent - tetanus immunization

Polio immunization refused 171269006 http://snomed.info/sct No consent - measles immunization 171270007 http://snomed.info/sct No consent - rubella immunization http://terminology.hl7.org/CodeSystem/v3-ActReason 171271006    PHILISOP icon http://snomed.info/sct No consent - BCG 171272004 philosophical objection http://snomed.info/sct No consent - influenza immunization

**Definition:**The patient or their guardian objects to receiving the vaccine because of philosophical beliefs.

No consent for MMR 171283008 http://snomed.info/sct No consent for any primary immunization http://terminology.hl7.org/CodeSystem/v3-ActReason 171285001    RELIG icon 171286000 religious objection http://snomed.info/sct No consent - school exit vaccinations

**Definition:**The patient or their guardian objects to receiving the vaccine on religious grounds.

171292006 http://snomed.info/sct No consent pneumococcal immunization http://terminology.hl7.org/CodeSystem/v3-ActReason 171293001    VACEFF icon No consent for MR - Measles/rubella vaccine efficacy concerns 310840001 http://snomed.info/sct
No consent for second measles, mumps and rubella

**Definition:**The intended vaccine has expired or is otherwise believed to no longer be effective.

**Example:**Due to temperature exposure.

No consent diphtheria, tetanus, pertussis immunization 314769006 http://snomed.info/sct No consent tetanus plus diphtheria immunization http://terminology.hl7.org/CodeSystem/v3-ActReason 314936001    VACSAF icon http://snomed.info/sct No consent for meningitis C immunization 407598009 vaccine safety concerns http://snomed.info/sct No consent for 3rd HIB booster

**Definition:**The patient or their guardian objects to receiving the vaccine because of concerns over its safety.

 

See the full registry of value sets defined as part of FHIR.

Explanation of the columns that may appear on this page:

Lvl A few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information
Source The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')
Display The display (used in the display element of a Coding ). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code