Release 4 5

This page is part of the FHIR Specification (v4.0.1: R4 (v5.0.0: R5 - Mixed Normative and STU ) ). This is the current published version in it's permanent home (it will always be available at this URL). 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

Valueset-immunization-status-reason.xml

Example ValueSet/immunization-status-reason (XML)

Vocabulary Terminology Infrastructure Work Group Maturity Level : N/A Standards Status : Informative

Raw XML ( canonical form + also see XML Format Specification )

Definition for Value SetImmunization Status Reason Codes

<?xml version="1.0" encoding="UTF-8"?>


  
  
    
    
  
  
    
    
      
      
        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.

      
      
        
      
      
        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

      
      
      
        Include these codes as defined in 
          
            
          
          
            
              
                
              
              
                
              
            
            
              
                
              
              
              Definition:Testing has shown that the patient already has immunity to the agent targeted
                 by the immunization.
            
            
              
                
              
              
              Definition:The patient currently has a medical condition for which the vaccine is contraindicated
                 or for which precaution is warranted.
            
            
              
                
              
              
              
            
            
              
                
              
              
              
            
          
        
        Include codes from 
          
            
           where concept  is-a  310376006 (Immunization consent not given)
        
      
    
  
  
    
  
  
    
  
  
    
  
  
  
    
    
  
  
  
  
  
  
  
  
  
    
      
      
    
  
  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.
  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
  
    
      
      
        
      
      
        
      
      
        
      
      
        
      
    
    
      
      
        
        
        
      
    
  

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="immunization-status-reason"/> 
  <meta> 
    <lastUpdated value="2023-03-26T15:21:02.749+11:00"/> 
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"/> 
  </meta> 
  <text> 
    <status value="extensions"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <ul> 
        <li> Include these codes as defined in 
          <a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActReason.html">
            <code> http://terminology.hl7.org/CodeSystem/v3-ActReason</code> 
          </a> 
          <table class="none">
            <tr> 
              <td style="white-space:nowrap">
                <b> Code</b> 
              </td> 
              <td> 
                <b> Display</b> 
              </td> 
              <td> 
                <b> Definition</b> 
              </td> 
            </tr> 
            <tr> 
              <td> 
                <a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActReason.html#v3-ActReason-IMMUNE">IMMUNE</a> 
              </td> 
              <td> immunity</td> 
              <td> **Definition:**Testing has shown that the patient already has immunity to the agent
                 targeted by the immunization.</td> 
            </tr>             <tr>               <td>                 <a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActReason.html#v3-ActReason-MEDPREC">MEDPREC</a>               </td>               <td> medical precaution</td>               <td> **Definition:**The patient currently has a medical condition for which the vaccine

                 is contraindicated or for which precaution is warranted.</td> 
            </tr>             <tr>               <td>                 <a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActReason.html#v3-ActReason-OSTOCK">OSTOCK</a>               </td>               <td> product out of stock</td>               <td> **Definition:**There was no supply of the product on hand to perform the service.</td>             </tr>             <tr>               <td>                 <a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActReason.html#v3-ActReason-PATOBJ">PATOBJ</a>               </td>               <td> patient objection</td>               <td> **Definition:**The patient or their guardian objects to receiving the vaccine.</td>             </tr>             <tr>               <td>                 <a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActReason.html#v3-ActReason-PHILISOP">PHILISOP</a>               </td>               <td> philosophical objection</td>               <td> **Definition:**The patient or their guardian objects to receiving the vaccine because

                 of philosophical beliefs.</td> 
            </tr>             <tr>               <td>                 <a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActReason.html#v3-ActReason-RELIG">RELIG</a>               </td>               <td> religious objection</td>               <td> **Definition:**The patient or their guardian objects to receiving the vaccine on

                 religious grounds.</td> 
            </tr>             <tr>               <td>                 <a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActReason.html#v3-ActReason-VACEFF">VACEFF</a>               </td>               <td> vaccine efficacy concerns</td>               <td> **Definition:**The intended vaccine has expired or is otherwise believed to no

                 longer be effective.
                <br/>                  <br/>  **Example:**Due to temperature exposure.              </td>             </tr>             <tr>               <td>                 <a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActReason.html#v3-ActReason-VACSAF">VACSAF</a>               </td>               <td> vaccine safety concerns</td>               <td> **Definition:**The patient or their guardian objects to receiving the vaccine because

                 of concerns over its safety.</td> 
            </tr>           </table>         </li>       </ul>     </div>   </text>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">    <valueCode value="pher"/>   </extension>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">    <valueCode value="draft"/>   </extension>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">    <valueInteger value="1"/>   </extension>   <url value="http://hl7.org/fhir/ValueSet/immunization-status-reason"/>   <identifier>     <system value="urn:ietf:rfc:3986"/>     <value value="urn:oid:2.16.840.1.113883.4.642.3.992"/>   </identifier>   <version value="5.0.0"/>   <name value="ImmunizationStatusReasonCodes"/>   <title value="Immunization Status Reason Codes"/>   <status value="draft"/>   <experimental value="true"/>   <publisher value="FHIR Project team"/>   <contact>     <telecom>       <system value="url"/>       <value value="http://hl7.org/fhir"/>     </telecom>   </contact>   <description value="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."/> 
  <jurisdiction>     <coding>       <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>       <code value="001"/>       <display value="World"/>     </coding>   </jurisdiction>   <copyright value="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-snome
  d-ct or info@snomed.org"/> 
  <compose>     <include>       <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>       <concept>         <code value="IMMUNE"/>       </concept>       <concept>         <code value="MEDPREC"/>       </concept>       <concept>         <code value="OSTOCK"/>       </concept>       <concept>         <code value="PATOBJ"/>       </concept>       <concept>         <code value="PHILISOP"/>       </concept>       <concept>         <code value="RELIG"/>       </concept>       <concept>         <code value="VACEFF"/>       </concept>       <concept>         <code value="VACSAF"/>       </concept>     </include>   </compose> 


</

ValueSet

>



Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.