{
  "resourceType": "ValueSet",
  "id": "immunization-status-reason",
  "meta": {
    "lastUpdated": "2023-03-26T15:21:02.749+11:00",
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/shareablevalueset"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<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>"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "pher"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "draft"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 1
    }
  ],
  "url": "http://hl7.org/fhir/ValueSet/immunization-status-reason",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.4.642.3.992"
    }
  ],
  "version": "5.0.0",
  "name": "ImmunizationStatusReasonCodes",
  "title": "Immunization Status Reason Codes",
  "status": "draft",
  "experimental": true,
  "publisher": "FHIR Project team",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org/fhir"
        }
      ]
    }
  ],
  "description": "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": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "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",
  "compose": {
    "include": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "concept": [
          {
            "code": "IMMUNE"
          },
          {
            "code": "MEDPREC"
          },
          {
            "code": "OSTOCK"
          },
          {
            "code": "PATOBJ"
          },
          {
            "code": "PHILISOP"
          },
          {
            "code": "RELIG"
          },
          {
            "code": "VACEFF"
          },
          {
            "code": "VACSAF"
          }
        ]
      }
    ]
  }
}