Release 4B R5 Final QA

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0-draft-final: Final QA Preview for R5 - STU see ballot notes ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

Using Codes Code Systems Value Sets Concept Maps Identifier Systems

4.4.1.43 4.4.1.21 Value Set ValueSet http://hl7.org/fhir/ValueSet/immunization-status-reason

Public Health and Emergency Response icon Work Group   Maturity Level : 1 Draft Use Context : Country: World, Not Intended for Production use
This is a value set defined by the FHIR project. Name:
Official URL : Version: http://hl7.org/fhir/ValueSet/immunization-status-reason 4.3.0 Version : 5.0.0-draft-final
draft as of 2023-03-01 Computable Name : ImmunizationStatusReasonCodes
Title: Flags : Experimental Immunization Status Reason Codes OID : 2.16.840.1.113883.4.642.3.992

This value set is used in the following places:

Definition:

4.4.1.21.1 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 )

4.4.1.43.1 4.4.1.21.2 Content Logical Definition

This value set includes codes based on the following rules:
  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-ActReason icon Include codes from http://snomed.info/sct where concept is-a 310376006 (Immunization consent not given)   4.4.1.43.2 Expansion This expansion generated 28 May 2022 This value set contains 28 concepts Expansion based on: ActReason v2.1.0 (CodeSystem) SNOMED CT International edition 31-Jul 2020 Code System Display Definition    IMMUNE    310376006 http://snomed.info/sct Immunization consent not given    171292006    407598009 http://snomed.info/sct No consent for 3rd HIB booster
    Code Display Definition
    IMMUNE icon immunity **Definition:**Testing has shown that the patient already has immunity to the agent targeted by the immunization.
    MEDPREC icon medical precaution **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 was no supply of the product on hand to perform the service.
    PATOBJ icon patient objection **Definition:**The patient or their guardian objects to receiving the vaccine.
    http://terminology.hl7.org/CodeSystem/v3-ActReason immunity **Definition:**Testing has shown that the patient already has immunity to the agent targeted by the immunization.    MEDPREC PHILISOP icon http://terminology.hl7.org/CodeSystem/v3-ActReason medical precaution philosophical objection **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 product out of stock **Definition:**There was no supply of the product on hand their guardian objects to perform receiving the service. vaccine because of philosophical beliefs.
       PATOBJ RELIG icon http://terminology.hl7.org/CodeSystem/v3-ActReason patient religious objection **Definition:**The patient or their guardian objects to receiving the vaccine. vaccine on religious grounds.
       171257003 VACEFF icon http://snomed.info/sct No consent - Tetanus/low dose diphtheria vaccine (finding)    171265000 http://snomed.info/sct efficacy concerns Pertussis **Definition:**The intended vaccine refused    171266004 http://snomed.info/sct No consent - diphtheria immunization    171267008 http://snomed.info/sct No consent - tetanus immunization    171268003 http://snomed.info/sct Polio immunization refused    171269006 http://snomed.info/sct No consent - measles immunization    171270007 http://snomed.info/sct No consent - rubella immunization    171271006 http://snomed.info/sct No consent - BCG    171272004 http://snomed.info/sct No consent - influenza immunization    171280006 http://snomed.info/sct No consent for MMR    171283008 http://snomed.info/sct No consent for any primary immunization (finding)    171285001 http://snomed.info/sct No consent - pre-school vaccinations    171286000 http://snomed.info/sct No consent - school exit vaccinations    171291004 http://snomed.info/sct No consent - Haemophilus influenzae type B immunization (finding) has expired or is otherwise believed to no longer be effective.

    **Example:**Due to temperature exposure.
    http://snomed.info/sct No consent pneumococcal immunization    171293001 VACSAF icon http://snomed.info/sct No consent for MR - Measles/rubella vaccine safety concerns    268559007 http://snomed.info/sct No consent for any immunization    310839003 http://snomed.info/sct No consent for MMR1    310840001 http://snomed.info/sct No consent for measles/mumps/rubella two    314768003 http://snomed.info/sct No consent DTP immunization    314769006 http://snomed.info/sct No consent DT immunization    314936001 http://snomed.info/sct No consent for meningitis C immunization **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