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

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="immunization-status-reason"/>
  <meta>
    <lastUpdated value="2026-04-01T17:59:15.240+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>