{"compose":{"include":[{"concept":[{"code":"IMMUNE"},{"code":"MEDPREC"},{"code":"OSTOCK"},{"code":"PATOBJ"},{"code":"PHILISOP"},{"code":"RELIG"},{"code":"VACEFF"},{"code":"VACSAF"}],"system":"http://terminology.hl7.org/CodeSystem/v3-ActReason"}]},"contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"}]}],"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","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.","experimental":false,"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"pher"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"informative"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":1}],"id":"immunization-status-reason","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.3.992"}],"jurisdiction":[{"coding":[{"code":"001","display":"World","system":"http://unstats.un.org/unsd/methods/m49/m49.htm"}]}],"meta":{"lastUpdated":"2026-03-31T18:19:13.451+00:00"},"name":"ImmunizationStatusReasonCodes","publisher":"FHIR Project team","resourceType":"ValueSet","status":"active","text":{"div":"<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 &#x1F4E6;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>","status":"extensions"},"title":"Immunization Status Reason Codes","url":"http://hl7.org/fhir/ValueSet/immunization-status-reason","version":"6.0.0-ballot4"}