Release 5 Draft Ballot

This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions Value Set

Patient Care Work Group Maturity Level: 1Draft Use Context: Not Intended for Production use

This is a value set defined at .


Defining URL:
Title:Care Plan Activity Status Reason

Example codes indicating the reason why the activity isn't yet started, is on hold, was cancelled, etc. Note that these are in no way complete and might not even be appropriate for some uses.

Committee:Patient Care Work Group
OID:2.16.840.1.113883.4.642.3.1416 (for OID based terminology systems)

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 or

Source ResourceXML / JSON

This value set is used in the following places:


This expansion generated 23 May 2022

This value set contains 614 concepts

183932001 contraindicated
135809002 contraindicated
135811006 contraindicated
135822005 lowering therapy contraindicated
135823000 channel blocker contraindicated
169551000 contraindicated
170954008 contraindicated
171277005 C/I - immunization
171284002 vaccine contraindicated
183934000 C/I to procedure
183936003 to live immunization
266757004 C/I to procedure
266758009 contraindicated
268560002 C/I - immunization
275935009 contraindicated
275974002 vaccine contraindicated
312451002 prophylaxis contra-indicated
315061006 contraindicated
315062004 blocker contraindicated
315363002 contraindicated
315364008 converting enzyme inhibitors contraindicated
315591006 contraindicated
390795005 vaccination contraindicated
390796006 vaccination contraindicated
390910005 contraindicated
394987009 II receptor antagonists contraindicated
395174005 replacement therapy contraindicated
395175006 contraindicated
395675007 contraceptive pill contraindicated
407582002 contraindicated
413558003 contraindicated
414055003 dependence home detoxification contraindicated
414159007 tolerance test contraindicated
414677003 contraindicated
415571003 reversibility testing contraindicated
415666001 of sulfonylurea contraindicated (situation)
416091008 contraindicated
416475003 calcium and vitamin D3 preparation contraindicated
416704001 scan contraindicated
416759002 anti-inflammatory drugs contraindicated
416996000 ranelate contraindicated
417101006 estrogen receptor modulator contraindicated
417128001 contraindicated
438767006 of pregnancy contraindicated (situation)
438833006 of drug or medicament contraindicated (situation)
698468005 contraindicated (situation)
698521002 contraindicated
699037006 B vaccination contraindicated
703997000 contraindicated
703999002 contraindicated
707298000 inhibitor contraindicated (situation)
715163003 vaccination contraindicated (situation)
715166006 Calmette-Guerin vaccination contraindicated (situation)
719320000 fever vaccination contraindicated (situation)
719324009 hepatitis A and B vaccination contraindicated (situation)
719325005 vaccination contraindicated (situation)
719330009 A vaccination contraindicated (situation)
719457005 encephalitis vaccination contraindicated (situation)
719458000 encephalitis vaccination contraindicated (situation)
719467000 vaccination contraindicated (situation)
719469002 vaccination contraindicated (situation)
719470001 vaccination contraindicated (situation)
719472009 vaccination contraindicated (situation)
719473004 vaccination contraindicated (situation)
719474005 vaccination contraindicated (situation)
719476007 vaccination contraindicated (situation)
719598000 C vaccination contraindicated (situation)
719603008 post exposure prophylaxis contraindicated (situation)
719886001 influenzae type b vaccination contraindicated (situation)
736004008 contraindicated (situation)
736006005 contraindicated (situation)
761844008 papilloma virus vaccination contraindicated
762450006 not done because contraindicated
7611000175100 contraindicated (situation)
7861000175101 therapy contraindicated (situation)
416406003 discontinued
170624001 steroids stopped
170688000 stopped
170689008 phenothiazine stopped
170919001 therapy stopped
170958006 stopped
182840001 treatment stopped - medical advice
182841002 stopped drugs - ineffective
182842009 stopped drugs - side effect
182843004 stopped drugs -inconvenient
182844005 stopped drugs - patient dislikes
182845006 stopped drugs - avoid interaction
182846007 stopped drugs - medical aim achieved
274512008 therapy discontinued
309841001 treatment stopped
394909009 driver discontinued
395006008 stopped - interaction
395007004 stopped - ineffective
395008009 stopped - contra-indication
395009001 stopped - side effect
412782003 medication stopped
425519007 resuscitation discontinued due to medical control order (situation)
425921008 resuscitation discontinued due to do not resuscitate order (situation)
426970003 resuscitation discontinued due to return of spontaneous circulation (situation)
426999008 resuscitation discontinued due to signs of death (situation)
427569000 resuscitation discontinued as per protocol (situation)
430279008 treatment stopped at end of clinical trial (situation)
438604008 dialysis therapy discontinued (situation)
439516000 therapy discontinued (situation)
710765004 drain discontinued
713246009 discontinued by healthcare professional (situation)
713247000 discontinued by patient
713248005 discontinued by doctor (situation)
70732231000132107 drug therapy stopped
416237000 not done
162650008 not examined
162675007 examination not done
162882008 system not examined
162980001 not examined
163128002 not examined
163348001 system not examined
163582008 system not examined
163628001 system not examined
163900009 - CNS not examined
164176006 examination not performed
164286000 - temperature not taken
164321005 - skin not examined
164445005 - extremities not examined
164503006 exam. not done
164713001 diagnostic procedure - not done
164725003 testing not done
164746007 test not done
164766003 ENT procedure not done
164776000 CVS test not done
164786004 GIT test not done
164795007 urinary test not done
164808009 female test not done
164823004 male test not done
164831009 test not done
164853006 not done
164964005 skin test not done
164978006 test not done
164985005 test not done
164997006 skin test not done
165008002 testing not done
165017002 function testing not done
165026004 volume test not done
165035006 flow rate not measured
165074004 function test not done
165081006 tolerance test not done
165104002 function not tested
165122004 biopsy not done
165139002 not carried out
165343008 test requested - not done
165377003 test request - not done
165393007 not estimated
167219008 not examined
167260001 glucose test not done
167272007 protein test not done
167286006 ketone test not done
167296002 blood test not done
167306007 pH test not done
167317008 bacteria test not done
167322008 urobilinogen not tested
167594003 not examined
167701000 not examined
167728005 chemistry - not tested
168497006 imaging procedure not carried out (situation)
169607004 antenatal care
169610006 care: not attended
169611005 antenatal care: not known pregnant
169699008 syphilis screening not done
169704000 blood group screening not done
169708002 sickle screening not done
170100005 not examined at birth
170108003 not examined at 10 days
170117003 6 week examination not attended
170126000 month exam not attended
170135007 month examination not attended
170144008 year examination not attended
170153001 year examination not attended (situation)
170162004 year examination not attended
170171008 year examination not attended (situation)
170180008 year examination not attended
170257006 1 year examination not attended
170266005 6 month examination not attended
170275007 21 month examination not attended
170284007 3 year exam not attended
170293008 39 month examination not attended
170304008 8 week examination not attended
182849000 drug therapy prescribed
183928007 remote from medical care
183929004 home medical services
183930009 admission elsewhere
266756008 care unavailable
266881002 not obtained
309846006 not available
310352003 not attended
314374001 degree sweep of cervix not performed
371900001 not administered
373147003 not administered because contraindicated
373148008 agent not administered because contraindicated
390848004 not examined
391016008 risk assessment defaulted
394965000 leukocyte test not done
396781004 chemotherapy AND/OR radiation therapy prior to lymphadenectomy
397004005 analysis not performed
397399004 phenotyping not performed
399538001 study not performed
401179006 previous immunizations
401318002 walking test not done
408504000 7 month examination not attended
408836004 not obtained
408837008 sample not obtained
416128008 past history of procedure
418014008 not ordered
418731009 stain applied
428348004 resuscitation not attempted (situation)
439867009 of pattern of resistance to antiviral agent not done (situation)
441989008 hypersensitivity skin test for histoplasmin not done
443788002 postnatal examination not attended (situation)
698569004 depression not discussed (situation)
698753008 history of cervical smear (situation)
699231000 abuse not discussed (situation)
703942005 history of mammogram (situation)
712751006 therapy not done
712985002 not done
713207007 dissection not done
715621003 failure education not done (situation)
715622005 not prescribed (situation)
719072001 of kidney not done (situation)
719828003 not done (situation)
722825000 preparation not done (situation)
4431000175103 medication not prescribed (situation)
4451000175106 action plan not done (situation)
4461000175108 cancer screening not done (situation)
4471000175100 cancer screening not done (situation)
4481000175102 mellitus screening not done (situation)
4501000175108 A1C test not done (situation)
4511000175106 screening test not done
4521000175102 mumps and rubella vaccination not done (situation)
4531000175104 cessation education not done (situation)
4541000175105 not done (situation)
4551000175107 foot exam not done
4571000175101 lowering medication not prescribed (situation)
4581000175103 retinal eye exam not done (situation)
4591000175100 density screening not done (situation)
5991000175105 expiratory flow not done (situation)
6001000175106 corticosteroid not prescribed (situation)
6011000175109 bronchodilator not prescribed (situation)
6021000175100 for diphtheria, pertussis, and tetanus not done
6031000175102 vaccination not done (situation)
6041000175108 A vaccination not done (situation)
6051000175105 B vaccination not done (situation)
90351000119108 not done (situation)
428119001 not indicated (situation)
134390006 converting enzyme inhibitor not indicated
134391005 not indicated
134392003 not indicated
134394002 not indicated
135805008 not indicated
135806009 channel blocker not indicated
135807000 lowering therapy not indicated
135808005 not indicated
183964008 not indicated
183965009 not indicated
183966005 treatment not indicated
315214003 blocker not indicated
407571005 not indicated
407572003 II receptor antagonist not indicated
407573008 vaccination not indicated
408339001 therapy not indicated
408396006 retinopathy screening not indicated
408397002 foot examination not indicated
408398007 review not indicated
413167008 bandaging not indicated
413560001 not indicated
413812009 smear not indicated
415119001 vaccination not indicated
415570002 not indicated
415667005 of sulfonylurea not indicated (situation)
416664005 estrogen receptor modulator not indicated
416670004 not indicated
416678006 calcium and vitamin D3 preparation not indicated
416741000 ranelate not indicated
417013004 scan not indicated
417218000 ultrasound not indicated
417434004 not indicated
699048004 tolerance test not indicated (situation)
700384008 prophylaxis not indicated
703971006 A vaccination not indicated (situation)
703996009 not indicated (situation)
704000000 not indicated
704033005 5 inhibitor not indicated (situation)
704052004 to cardiac rehabilitation program not indicated
704096004 to heart failure exercise program not indicated
707287001 B vaccination not indicated
707853004 for Ebola virus not indicated (situation)
709198003 not indicated
712740006 monitoring not indicated
736005009 not indicated (situation)
71911000119106 vaginal PAP smear required due to history of hysterectomy
416064006 not offered
416432009 not wanted
169609001 care: not wanted
169635000 craft not wanted
169649009 amniocentesis - not wanted
169660000 U/S scan not wanted
169687001 blood test not wanted
169693009 screening not wanted
169795009 test not wanted
169796005 test not wanted
170116007 6 week examination not wanted
170125001 month exam not wanted
170134006 month examination not wanted
170143002 year examination not wanted
170152006 year examination not wanted
170161006 year examination not wanted
170170009 year examination not wanted (situation)
170179005 year examination not wanted
170256002 1 year examination not wanted
170265009 6 month examination not wanted
170274006 21 month examination not wanted
170283001 3 year exam not wanted
170292003 39 month examination not wanted
170302007 8 week examination not wanted
171034000 education not wanted
171103002 not wanted
171152003 for malignant neoplasm of cervix not wanted (situation)
184163005 surveillance not wanted
408505004 7 month examination not wanted
183944003 refused
105480006 of treatment by patient
134385008 to dietician declined
134386009 to podiatrist refused by patient
134396000 declined
134397009 converting enzyme inhibitor declined
134398004 declined
135812004 declined
135814003 declined
135825007 channel blocker declined
135826008 lowering therapy declined
165342003 refused laboratory test
165376007 refused hematology test
168499009 refused
182895007 declined by patient
182896008 declined by patient - dislikes taste
182897004 declined by patient - side effects
182898009 declined by patient - inconvenient
182899001 declined by patient - problem swallowing
182900006 declined by patient - patient beliefs
182901005 declined by patient - alternative therapy
182902003 declined by patient - cannot pay script
182903008 declined by patient - reason unknown
182981008 reduction program declined (situation)
183945002 refused for religious reason (situation)
183946001 refused - uncooperative
183947005 procedure - after thought
183948000 procedure - parent's wish
183949008 examination refused
183957006 refuses day hospital
183958001 meals on wheels
183959009 Services help refused
183960004 refuses hospital admit
183961000 III accommodation refused
183962007 non-compliant with specific advice
185754009 diabetes monitoring
275936005 noncompliance - general (situation)
315020006 blocker therapy refused
315021005 heart disease monitoring refused
315022003 replacement therapy refused
315023008 prophylaxis refused
315640000 vaccination declined
371138003 of treatment by parents
390914001 therapy refused
391015007 risk assessment refused
395176007 refused
395703005 C immunization refused
401047000 treatment refused
401084003 II receptor antagonist declined
401086001 vaccination declined
406149000 refused
407583007 declined
408548005 resonance imaging scan declined
408549002 declined
408551003 tolerance test refused
408558009 team falls assessment declined
408559001 health care team falls assessment declined
408566000 declined
408567009 scan brain declined
408569007 procedure declined
408572000 artery doppler declined
408778004 B immunization declined
408791003 vaccination declined
408795007 K prophylaxis declined
412713002 arteriography declined
412718006 screening declined
412725004 review declined
412752009 foot examination declined
413122001 retinopathy screening refused
413123006 pressure procedure refused
413310006 non-compliant - refused access to services
413311005 non-compliant - refused intervention / support
413312003 non-compliant - refused service
413559006 declined
413756001 rehabilitation declined
415523003 care prescribing declined
415572005 test declined
416126007 declined
416522000 ranelate declined
416888009 scan declined
417045009 calcium and vitamin D3 preparation declined
417114007 referral to minor ailments clinic
417512003 estrogen receptor modulator declined
426544006 refused (situation)
428042006 acyl-coenzyme A dehydrogenase deficiency screening test declined (situation)
428073005 consumption screening test declined (situation)
428299008 cell screening declined (situation)
428650003 hypothyroidism screening declined (situation)
428841003 fibrosis screening declined (situation)
429284000 disease risk assessment declined (situation)
429688007 triage declined (situation)
429726000 screening declined (situation)
429739001 refused transportation (situation)
438370008 disease risk assessment declined (situation)
438765003 papillomavirus vaccination declined (situation)
439495000 declined (situation)
440621003 declined by patient (situation)
442324008 screening declined
442392002 transport to hospital declined
442444001 to specialist alcohol treatment service declined by patient
444020006 postnatal examination refused (situation)
473149004 acting reversible contraception declined (situation)
698357006 aortic aneurysm screening declined
698451006 brachial pressure index test declined (situation)
698460003 therapy declined
698473004 glucose test declined
698483000 management advice declined
698484006 of waist circumference declined
698490005 dipstick test declined (situation)
698758004 therapy refused
698950001 A virus subtype H1N1 vaccination declined (situation)
699034004 oxygen therapy declined (situation)
699042003 taking of sexual orientation declined (situation)
699053009 pulse check declined
699054003 of blood product declined
699128009 transfusion declined
699137009 therapy declined
700359005 meningitis C vaccination declined (situation)
700411009 enquiry about domestic abuse declined
703427001 of treatment by patient against dental advice
703989007 therapy declined (situation)
703991004 therapy declined
703992006 support declined
704046000 health assessment declined (situation)
704047009 5 inhibitor declined (situation)
704049007 to erectile dysfunction clinic declined (situation)
704051006 to cardiac rehabilitation program declined (situation)
704097008 to heart failure exercise program declined
705140004 of physical health declined (situation)
706890009 birth after previous cesarean section refused (situation)
707745004 screening declined (situation)
707746003 chest X-ray declined
708129006 of blood product refused for religious reason (situation)
713068007 75 years of age health check declined
713615000 care planning declined
714747005 about advance care planning declined (situation)
715508000 using Generalized Anxiety Disorder 7 item scale declined (situation)
716048005 of advance care plan declined (situation)
718700006 to psychology service declined (situation)
719654008 of anticipatory care medication declined (situation)
720022007 care prescribing of drugs for dementia declined (situation)
720548009 B vaccination declined (situation)
720581005 for online access to local general practice service declined (situation)
720832001 risk assessment declined (situation)
720833006 density scan declined (situation)
720834000 screening declined (situation)
720835004 declined
720971004 declined (situation)
721107007 to specialist refused (situation)
721110000 to nephrologist refused (situation)
721111001 to cardiologist refused (situation)
722338002 meningitis B vaccination declined (situation)
722396000 meningitis B vaccination declined (situation)
722397009 meningitis B vaccination declined (situation)
723061000 vaccination refused by patient (situation)
723062007 zoster vaccine declined
725022005 to ophthalmologist refused by patient
725025007 to gastroenterologist declined by subject (situation)
725275004 to gynecologist declined by subject (situation)
726696005 to oncologist declined by subject (situation)
726697001 to psychiatrist declined by subject (situation)
726698006 to respiratory physician declined by subject (situation)
726699003 to colorectal surgeon declined by subject (situation)
736013005 weight measurement declined (situation)
736085006 to respiratory clinic declined (situation)
736150009 to perform inhaler technique (situation)
736427008 for Human papillomavirus declined (situation)
736595007 for malignant neoplasm of cervix declined (situation)
763021000 of RhD immune globulin refused
763024008 of chorionic villus refused
763029003 thalassemia screening refused (situation)
763030008 screening for viral hepatitis type B refused (situation)
763031007 screening for human immunodeficiency virus refused
763076007 risk assessment declined (situation)
763079000 up refused
763083000 screening refused
763085007 monitoring refused
763086008 woman health check refused
763221007 monitoring refused (situation)
763282002 patient screening refused
763284001 trial declined
763322002 monitoring declined
763323007 replacement therapy refused
763324001 monitoring refused
763356008 man health check declined
763361005 care refused (situation)
763380007 of chaperone refused
763384003 screening for Down, Edwards and Patau syndromes declined (situation)
763385002 screening for Down syndrome declined (situation)
763386001 screening for Edwards and Patau syndromes declined (situation)
763481007 of hormone replacement therapy refused
763483005 for stress declined
763726001 by patient to provide information about ethnic group
763780009 dosage increase declined
763781008 health examination declined
763782001 of patient held diabetes record declined
763896000 by patient to provide information about religion
763897009 chemotherapy regimen refused
764526007 declined to provide information about spoken language
765001003 of smoking cessation therapy declined
765002005 assessment refused
765105005 monitoring declined
772789003 II diabetes mellitus risk assessment declined
774215001 to participate in research study declined
591000119102 refused by patient
921000119109 refused by parent
31001000119109 cancer screening declined (situation)
31011000119107 cancer screening declined (situation)
31021000119100 declined (situation)
90311000119107 declined by caregiver (situation)
112241000119107 cancer Papanicolaou smear screening declined (situation)
116101000119100 refused (situation)
116471000119100 test declined (situation)
116491000119104 treatment declined (situation)
122371000119100 screening declined
124801000119108 screening declined (situation)
130651000119102 vaccination declined by caregiver (situation)
139731000119106 vaccination declined by caregiver (situation)
141851000119107 screening declined (situation)
144511000119107 exam declined
11892181000119102 dependency consultation declined (situation)
12275351000119103 cancer screening declined (situation)
12275391000119108 screening declined (situation)
13015001000119105 cancer screening declined (situation)
15651391000119108 vitamin K adminstration declined by caregiver (situation)
16218211000119109 Papanicolaou smear declined (situation)
16314791000119109 screening declined (situation)
16472341000119108 diphtheria and acellular pertussis vaccination declined (situation)
16477801000119103 fluoride treatment declined (situation)
16659251000119105 of skin refused (situation)
394908001 stopped
168533005 stopped
170585007 disease treatment stopped
170588009 for hypertension stopped (situation)
170620005 disease treatment stopped (situation)
170621009 oxygen supply stopped
170675003 treatment stopped
170687005 treatment stopped
170700002 disorder treatment stopped
170712003 treatment stopped
170725006 treatment stopped
170800007 of obesity stopped
170816009 disease treatment stopped
170826002 injections stopped
170834008 disorder treatment stopped
170843004 disorder treatment stopped
170854009 disorder treatment stopped
170863006 disorder treatment stopped
170872003 disorder treatment stopped
170882002 disorder treatment stopped
170894006 disease treatment stopped
170904002 - treatment stopped
170912005 risk treatment stopped
170929008 prescription treatment stopped
180863000 abandoned
268521004 disease treatment stopped
288120003 abandoned before onset
391021006 treatment stopped
397023003 not completed
414120003 not completed due to anatomical derangements from previous surgery
698459008 drug treatment stopped
700110004 prophylaxis suspended
708000007 treatment stopped (situation)
719857004 monitoring suspended (situation)
733035008 initiated dental therapy not completed
764637000 therapy stopped (situation)
410536001 (qualifier value)
IMMUNE**Definition:**Testing has shown that the patient already has immunity to the agent targeted by the immunization.
MEDPREC precaution**Definition:**The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted.
OSTOCK out of stock**Definition:**There was no supply of the product on hand to perform the service.
PATOBJ objection**Definition:**The patient or their guardian objects to receiving the vaccine.
PHILISOP objection**Definition:**The patient or their guardian objects to receiving the vaccine because of philosophical beliefs.
RELIG objection**Definition:**The patient or their guardian objects to receiving the vaccine on religious grounds.
VACEFF efficacy concerns**Definition:**The intended vaccine has expired or is otherwise believed to no longer be effective. **Example:**Due to temperature exposure.
VACSAF safety concerns**Definition:**The patient or their guardian objects to receiving the vaccine because of concerns over its safety.
altchoice another treatment firstThis therapy has been ordered as a backup to a preferred therapy. This order will be released when and if the preferred therapy is unsuccessful.
clarif requires clarificationClarification is required before the order can be acted upon.
drughigh level too highThe current level of the medication in the patient's system is too high. The medication is suspended to allow the level to subside to a safer level.
hospadm to hospitalThe patient has been admitted to a care facility and their community medications are suspended until hospital discharge.
labint interference issuesThe therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed.
non-avail not availablePatient not available for a period of time due to a scheduled therapy, leave of absence or other reason.
preg is pregnant/breast feedingThe patient is pregnant or breast feeding. The therapy will be resumed when the pregnancy is complete and the patient is no longer breastfeeding.
salg patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.
sddi interacts with another drugThe drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete.
sdupther therapyThe drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete.
sintol intoleranceThe drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete.
surg scheduled for surgery.The drug is contraindicated for patients receiving surgery and the patient is scheduled to be admitted for surgery in the near future. The drug will be resumed when the patient has sufficiently recovered from the surgery.
washout for old drug to wash outThe patient was previously receiving a medication contraindicated with the current medication. The current medication will remain on hold until the prior medication has been cleansed from their system.


See the full registry of value sets defined as part of FHIR.

Explanation of the columns that may appear on this page:

LvlA few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information
SourceThe source of the definition of the code (when the value set draws in codes defined elsewhere)
CodeThe code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')
DisplayThe display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
DefinitionAn explanation of the meaning of the concept
CommentsAdditional notes about how to use the code