<?xml version="1.0" encoding="UTF-8"?><ValueSet xmlns="http://hl7.org/fhir"><id value="immunization-status-reason"/><meta><lastUpdated value="2026-03-31T18:55:04.283+00:00"/></meta><text><status value="extensions"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet immunization-status-reason</b></p><a name="immunization-status-reason"> </a><a name="hcimmunization-status-reason"> </a><ul><li>Include these codes as defined in <a href="http://terminology.hl7.org/7.1.0/CodeSystem-v3-ActReason.html"><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></a><span title="Version is not explicitly stated, which means it is fixed to 4.0.0, the version found through the package references"> version 📦4.0.0</span><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/7.1.0/CodeSystem-v3-ActReason.html#v3-ActReason-IMMUNE">IMMUNE</a></td><td style="color: #cccccc">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/7.1.0/CodeSystem-v3-ActReason.html#v3-ActReason-MEDPREC">MEDPREC</a></td><td style="color: #cccccc">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/7.1.0/CodeSystem-v3-ActReason.html#v3-ActReason-OSTOCK">OSTOCK</a></td><td style="color: #cccccc">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/7.1.0/CodeSystem-v3-ActReason.html#v3-ActReason-PATOBJ">PATOBJ</a></td><td style="color: #cccccc">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/7.1.0/CodeSystem-v3-ActReason.html#v3-ActReason-PHILISOP">PHILISOP</a></td><td style="color: #cccccc">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/7.1.0/CodeSystem-v3-ActReason.html#v3-ActReason-RELIG">RELIG</a></td><td style="color: #cccccc">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/7.1.0/CodeSystem-v3-ActReason.html#v3-ActReason-VACEFF">VACEFF</a></td><td style="color: #cccccc">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/7.1.0/CodeSystem-v3-ActReason.html#v3-ActReason-VACSAF">VACSAF</a></td><td style="color: #cccccc">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="informative"/></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="6.0.0-ballot4"/><name value="ImmunizationStatusReasonCodes"/><title value="Immunization Status Reason Codes"/><status value="active"/><experimental value="false"/><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-snomed-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>