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Example ValueSet/immunization-status-reason (XML)

Terminology Infrastructure Work GroupMaturity Level: N/AStandards Status: Informative

Raw XML (canonical form + also see XML Format Specification)

Definition for Value SetImmunization Status Reason Codes

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

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="immunization-status-reason"/> 
  <meta> 
    <lastUpdated value="2024-03-27T11:56:58.316+00:00"/> 
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"/> 
  </meta> 
  <text> 
    <status value="extensions"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <ul> 
        <li> Include these codes as defined in 
          <a href="http://terminology.hl7.org/5.5.0/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/5.5.0/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/5.5.0/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/5.5.0/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/5.5.0/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/5.5.0/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/5.5.0/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/5.5.0/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/5.5.0/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="draft"/> 
  </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-cibuild"/> 
  <name value="ImmunizationStatusReasonCodes"/> 
  <title value="Immunization Status Reason Codes"/> 
  <status value="draft"/> 
  <experimental value="true"/> 
  <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-snome
  d-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> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.