{
  "resourceType": "ValueSet",
  "id": "immunization-status-reason",
  "meta": {
    "lastUpdated": "2026-07-03T14:29:03.795+00:00"
  },
  "text": {
    "status": "extensions",
    "div": "\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003e\u003cp class\u003d\"res-header-id\"\u003e\u003cb\u003eGenerated Narrative: ValueSet immunization-status-reason\u003c/b\u003e\u003c/p\u003e\u003ca name\u003d\"immunization-status-reason\"\u003e \u003c/a\u003e\u003ca name\u003d\"hcimmunization-status-reason\"\u003e \u003c/a\u003e\u003cul\u003e\u003cli\u003eInclude these codes as defined in \u003ca href\u003d\"http://terminology.hl7.org/7.2.0/CodeSystem-v3-ActReason.html\"\u003e\u003ccode\u003ehttp://terminology.hl7.org/CodeSystem/v3-ActReason\u003c/code\u003e\u003c/a\u003e\u003cspan title\u003d\"Version is not explicitly stated, which means it is fixed to 4.0.0, the version found through the package references\"\u003e version \u0026#x1F4E6;4.0.0\u003c/span\u003e\u003ctable class\u003d\"none\"\u003e\u003ctr\u003e\u003ctd style\u003d\"white-space:nowrap\"\u003e\u003cb\u003eCode\u003c/b\u003e\u003c/td\u003e\u003ctd\u003e\u003cb\u003eDisplay\u003c/b\u003e\u003c/td\u003e\u003ctd\u003e\u003cb\u003eDefinition\u003c/b\u003e\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd\u003e\u003ca href\u003d\"http://terminology.hl7.org/7.2.0/CodeSystem-v3-ActReason.html#v3-ActReason-IMMUNE\"\u003eIMMUNE\u003c/a\u003e\u003c/td\u003e\u003ctd style\u003d\"color: #cccccc\"\u003eimmunity\u003c/td\u003e\u003ctd\u003e**Definition:**Testing has shown that the patient already has immunity to the agent targeted by the immunization.\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd\u003e\u003ca href\u003d\"http://terminology.hl7.org/7.2.0/CodeSystem-v3-ActReason.html#v3-ActReason-MEDPREC\"\u003eMEDPREC\u003c/a\u003e\u003c/td\u003e\u003ctd style\u003d\"color: #cccccc\"\u003emedical precaution\u003c/td\u003e\u003ctd\u003e**Definition:**The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted.\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd\u003e\u003ca href\u003d\"http://terminology.hl7.org/7.2.0/CodeSystem-v3-ActReason.html#v3-ActReason-OSTOCK\"\u003eOSTOCK\u003c/a\u003e\u003c/td\u003e\u003ctd style\u003d\"color: #cccccc\"\u003eproduct out of stock\u003c/td\u003e\u003ctd\u003e**Definition:**There was no supply of the product on hand to perform the service.\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd\u003e\u003ca href\u003d\"http://terminology.hl7.org/7.2.0/CodeSystem-v3-ActReason.html#v3-ActReason-PATOBJ\"\u003ePATOBJ\u003c/a\u003e\u003c/td\u003e\u003ctd style\u003d\"color: #cccccc\"\u003epatient objection\u003c/td\u003e\u003ctd\u003e**Definition:**The patient or their guardian objects to receiving the vaccine.\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd\u003e\u003ca href\u003d\"http://terminology.hl7.org/7.2.0/CodeSystem-v3-ActReason.html#v3-ActReason-PHILISOP\"\u003ePHILISOP\u003c/a\u003e\u003c/td\u003e\u003ctd style\u003d\"color: #cccccc\"\u003ephilosophical objection\u003c/td\u003e\u003ctd\u003e**Definition:**The patient or their guardian objects to receiving the vaccine because of philosophical beliefs.\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd\u003e\u003ca href\u003d\"http://terminology.hl7.org/7.2.0/CodeSystem-v3-ActReason.html#v3-ActReason-RELIG\"\u003eRELIG\u003c/a\u003e\u003c/td\u003e\u003ctd style\u003d\"color: #cccccc\"\u003ereligious objection\u003c/td\u003e\u003ctd\u003e**Definition:**The patient or their guardian objects to receiving the vaccine on religious grounds.\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd\u003e\u003ca href\u003d\"http://terminology.hl7.org/7.2.0/CodeSystem-v3-ActReason.html#v3-ActReason-VACEFF\"\u003eVACEFF\u003c/a\u003e\u003c/td\u003e\u003ctd style\u003d\"color: #cccccc\"\u003evaccine efficacy concerns\u003c/td\u003e\u003ctd\u003e**Definition:**The intended vaccine has expired or is otherwise believed to no longer be effective.\u003cbr/\u003e\u003cbr/\u003e**Example:**Due to temperature exposure.\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd\u003e\u003ca href\u003d\"http://terminology.hl7.org/7.2.0/CodeSystem-v3-ActReason.html#v3-ActReason-VACSAF\"\u003eVACSAF\u003c/a\u003e\u003c/td\u003e\u003ctd style\u003d\"color: #cccccc\"\u003evaccine safety concerns\u003c/td\u003e\u003ctd\u003e**Definition:**The patient or their guardian objects to receiving the vaccine because of concerns over its safety.\u003c/td\u003e\u003c/tr\u003e\u003c/table\u003e\u003c/li\u003e\u003c/ul\u003e\u003c/div\u003e"
  },
  "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
    }
  ],
  "url": "http://hl7.org/fhir/ValueSet/immunization-status-reason",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.4.642.3.992"
    }
  ],
  "version": "6.0.0-ballot4",
  "name": "ImmunizationStatusReasonCodes",
  "title": "Immunization Status Reason Codes",
  "status": "active",
  "experimental": false,
  "publisher": "FHIR Project team",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org/fhir"
        }
      ]
    }
  ],
  "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.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "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",
  "compose": {
    "include": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "concept": [
          {
            "code": "IMMUNE"
          },
          {
            "code": "MEDPREC"
          },
          {
            "code": "OSTOCK"
          },
          {
            "code": "PATOBJ"
          },
          {
            "code": "PHILISOP"
          },
          {
            "code": "RELIG"
          },
          {
            "code": "VACEFF"
          },
          {
            "code": "VACSAF"
          }
        ]
      }
    ]
  }
}