Draft Immunization FHIR Implementation Guide
0.1.0 - ci-build
Draft Immunization FHIR Implementation Guide
0.1.0 - ci-build
Draft Immunization FHIR Implementation Guide, published by UP Manila SILab. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/UP-Manila-SILab/immunizationfhirig/ and changes regularly. See the Directory of published versions
| Draft as of 2025-08-29 |
{
"resourceType" : "CodeSystem",
"id" : "SEIRActionReason",
"meta" : {
"versionId" : "6",
"lastUpdated" : "2025-06-15T12:29:37.604+00:00"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem SEIRActionReason</b></p><a name=\"SEIRActionReason\"> </a><a name=\"hcSEIRActionReason\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 6; Last updated: 2025-06-15 12:29:37+0000</p></div><p>This case-sensitive code system <code>http://seir.dohnip.org/codesystem/action-reason</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode001<a name=\"SEIRActionReason-SEIRReasonCode001\"> </a></td><td>DEFER - Parent was absent/away from home.</td><td>Vaccination deferred because parent was absent/away from home.</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode002<a name=\"SEIRActionReason-SEIRReasonCode002\"> </a></td><td>DEFER - Fear of vaccine side effect</td><td>Vaccination deferred due to fear of vaccine side effect</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode003<a name=\"SEIRActionReason-SEIRReasonCode003\"> </a></td><td>DEFER - Vaccine safety issues (dengue vaccine experience, past adverse experience, etc.)</td><td>Vaccination deferred due to vaccine safety issues (dengue vaccine experience, past adverse experience, etc.)</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode004<a name=\"SEIRActionReason-SEIRReasonCode004\"> </a></td><td>DEFER - Child already has complete routine vaccination, extra vaccine dose not necessary so parents refused</td><td>Vaccination deferred because child already has complete routine vaccination, extra vaccine dose not necessary so parents refused</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode005<a name=\"SEIRActionReason-SEIRReasonCode005\"> </a></td><td>DEFER - Fear of COVID transmission</td><td>Vaccination deferred due to fear of COVID transmission</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode006<a name=\"SEIRActionReason-SEIRReasonCode006\"> </a></td><td>DEFER - Vaccine perceived to be not effective, of low-quality, or on near-expiry</td><td>Vaccination deferred because vaccine perceived to be not effective, of low-quality, or on near-expiry</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode007<a name=\"SEIRActionReason-SEIRReasonCode007\"> </a></td><td>DEFER - Client is a newborn and parents believed that her/his child is too young to be given vaccination</td><td>Vaccination deferred because client is a newborn and parents believed that her/his child is too young to be given vaccination</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode008<a name=\"SEIRActionReason-SEIRReasonCode008\"> </a></td><td>DEFER - Child was already vaccinated by private MD, against advise by private MDs, thus parents/caregiver refused</td><td>Vaccination deferred because child was already vaccinated by private MD, against advise by private MDs, thus parents/caregiver refused</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode009<a name=\"SEIRActionReason-SEIRReasonCode009\"> </a></td><td>DEFER - Peculiar personal beliefs or misconceptions of the parents or caregiver on vaccination; against religious beliefs</td><td>Vaccination deferred due to peculiar personal beliefs or misconceptions of the parents or caregiver on vaccination; against religious beliefs</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode010<a name=\"SEIRActionReason-SEIRReasonCode010\"> </a></td><td>DEFER - Lack of trust in the vaccinator</td><td>Vaccination deferred due to lack of trust in the vaccinator</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode011<a name=\"SEIRActionReason-SEIRReasonCode011\"> </a></td><td>DEFER - Child just recovered from illness or just discharged from the hospital</td><td>Vaccination deferred because child just recovered from illness or just discharged from the hospital</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode012<a name=\"SEIRActionReason-SEIRReasonCode012\"> </a></td><td>DEFER - Unaware of the campaign</td><td>Vaccination deferred because unaware of the campaign</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode013<a name=\"SEIRActionReason-SEIRReasonCode013\"> </a></td><td>DEFER - Vaccine team did not visit</td><td>Vaccination deferred because vaccine team did not visit</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode014<a name=\"SEIRActionReason-SEIRReasonCode014\"> </a></td><td>DEFER - Child was from a different area</td><td>Vaccination deferred because child was from a different area</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode015<a name=\"SEIRActionReason-SEIRReasonCode015\"> </a></td><td>DEFER - Child was acutely sick or not feeling well</td><td>Vaccination deferred because child was acutely sick or not feeling well</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode016<a name=\"SEIRActionReason-SEIRReasonCode016\"> </a></td><td>DEFER - Do not know/declined to respond</td><td>Vaccination deferred: Do not know/declined to respond</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode017<a name=\"SEIRActionReason-SEIRReasonCode017\"> </a></td><td>DEFER - Outright refusal</td><td>Vaccination deferred: Outright refusal</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode018<a name=\"SEIRActionReason-SEIRReasonCode018\"> </a></td><td>DEFER - Vaccine is not available / stock out.</td><td>Vaccination deferred because vaccine is not available / stock out.</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode019<a name=\"SEIRActionReason-SEIRReasonCode019\"> </a></td><td>REFUSE - Parent was absent/away from home.</td><td>Vaccination refused because parent was absent/away from home.</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode020<a name=\"SEIRActionReason-SEIRReasonCode020\"> </a></td><td>REFUSE - Fear of vaccine side effect</td><td>Vaccination refused due to fear of vaccine side effect</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode021<a name=\"SEIRActionReason-SEIRReasonCode021\"> </a></td><td>REFUSE - Vaccine safety issues (dengue vaccine experience, past adverse experience, etc.)</td><td>Vaccination refused due to vaccine safety issues (dengue vaccine experience, past adverse experience, etc.)</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode022<a name=\"SEIRActionReason-SEIRReasonCode022\"> </a></td><td>REFUSE - Child already has complete routine vaccination, extra vaccine dose not necessary so parents refused</td><td>Vaccination refused because child already has complete routine vaccination, extra vaccine dose not necessary so parents refused</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode023<a name=\"SEIRActionReason-SEIRReasonCode023\"> </a></td><td>REFUSE - Fear of COVID transmission</td><td>Vaccination refused due to fear of COVID transmission</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode024<a name=\"SEIRActionReason-SEIRReasonCode024\"> </a></td><td>REFUSE - Vaccine perceived to be not effective, of low-quality, or on near-expiry</td><td>Vaccination refused because vaccine perceived to be not effective, of low-quality, or on near-expiry</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode025<a name=\"SEIRActionReason-SEIRReasonCode025\"> </a></td><td>REFUSE - Client is a newborn and parents believed that her/his child is too young to be given vaccination</td><td>Vaccination refused because client is a newborn and parents believed that her/his child is too young to be given vaccination</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode026<a name=\"SEIRActionReason-SEIRReasonCode026\"> </a></td><td>REFUSE - Child was already vaccinated by private MD, against advise by private MDs, thus parents/caregiver refused</td><td>Vaccination refused because child was already vaccinated by private MD, against advise by private MDs, thus parents/caregiver refused</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode027<a name=\"SEIRActionReason-SEIRReasonCode027\"> </a></td><td>REFUSE - Peculiar personal beliefs or misconceptions of the parents or caregiver on vaccination; against religious beliefs</td><td>Vaccination refused due to peculiar personal beliefs or misconceptions of the parents or caregiver on vaccination; against religious beliefs</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode028<a name=\"SEIRActionReason-SEIRReasonCode028\"> </a></td><td>REFUSE - Lack of trust in the vaccinator</td><td>Vaccination refused due to lack of trust in the vaccinator</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode029<a name=\"SEIRActionReason-SEIRReasonCode029\"> </a></td><td>REFUSE - Child just recovered from illness or just discharged from the hospital</td><td>Vaccination refused because child just recovered from illness or just discharged from the hospital</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode030<a name=\"SEIRActionReason-SEIRReasonCode030\"> </a></td><td>REFUSE - Unaware of the campaign</td><td>Vaccination refused: Unaware of the campaign</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode031<a name=\"SEIRActionReason-SEIRReasonCode031\"> </a></td><td>REFUSE - Vaccine team did not visit</td><td>Vaccination refused because vaccine team did not visit</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode032<a name=\"SEIRActionReason-SEIRReasonCode032\"> </a></td><td>REFUSE - Child was from a different area</td><td>Vaccination refused because child was from a different area</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode033<a name=\"SEIRActionReason-SEIRReasonCode033\"> </a></td><td>REFUSE - Child was acutely sick or not feeling well</td><td>Vaccination refused because child was acutely sick or not feeling well</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode034<a name=\"SEIRActionReason-SEIRReasonCode034\"> </a></td><td>REFUSE - Do not know/declined to respond</td><td>Vaccination refused: Do not know/declined to respond</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode035<a name=\"SEIRActionReason-SEIRReasonCode035\"> </a></td><td>REFUSE - Outright refusal</td><td>Vaccination refused: Outright refusal</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode036<a name=\"SEIRActionReason-SEIRReasonCode036\"> </a></td><td>REFUSE - Vaccine is not available / stock out.</td><td>Vaccination refused because vaccine is not available / stock out.</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode998<a name=\"SEIRActionReason-SEIRReasonCode998\"> </a></td><td>DEFER - Others</td><td>Vaccination deferred due to other reasons</td></tr><tr><td style=\"white-space:nowrap\">SEIRReasonCode999<a name=\"SEIRActionReason-SEIRReasonCode999\"> </a></td><td>REFUSE - Others</td><td>Vaccination refused due to other reasons</td></tr></table></div>"
},
"url" : "http://seir.dohnip.org/codesystem/action-reason",
"version" : "0.1.0",
"name" : "SEIR___Action_Reason",
"title" : "SEIR Action Reason",
"status" : "draft",
"date" : "2025-08-29T07:12:28+00:00",
"publisher" : "UP Manila SILab",
"contact" : [
{
"name" : "UP Manila SILab",
"telecom" : [
{
"system" : "url",
"value" : "https://github.com/UP-Manila-SILab"
}
]
}
],
"description" : "Synchronized Electronic Immunization Repository (SEIR)'s reason when refusing or deferring immunization administration.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "PH",
"display" : "Philippines"
}
]
}
],
"caseSensitive" : true,
"valueSet" : "http://seir.dohnip.org/valueset/action-reason",
"compositional" : false,
"versionNeeded" : true,
"content" : "complete",
"count" : 38,
"concept" : [
{
"code" : "SEIRReasonCode001",
"display" : "DEFER - Parent was absent/away from home.",
"definition" : "Vaccination deferred because parent was absent/away from home."
},
{
"code" : "SEIRReasonCode002",
"display" : "DEFER - Fear of vaccine side effect",
"definition" : "Vaccination deferred due to fear of vaccine side effect"
},
{
"code" : "SEIRReasonCode003",
"display" : "DEFER - Vaccine safety issues (dengue vaccine experience, past adverse experience, etc.)",
"definition" : "Vaccination deferred due to vaccine safety issues (dengue vaccine experience, past adverse experience, etc.)"
},
{
"code" : "SEIRReasonCode004",
"display" : "DEFER - Child already has complete routine vaccination, extra vaccine dose not necessary so parents refused",
"definition" : "Vaccination deferred because child already has complete routine vaccination, extra vaccine dose not necessary so parents refused"
},
{
"code" : "SEIRReasonCode005",
"display" : "DEFER - Fear of COVID transmission",
"definition" : "Vaccination deferred due to fear of COVID transmission"
},
{
"code" : "SEIRReasonCode006",
"display" : "DEFER - Vaccine perceived to be not effective, of low-quality, or on near-expiry",
"definition" : "Vaccination deferred because vaccine perceived to be not effective, of low-quality, or on near-expiry"
},
{
"code" : "SEIRReasonCode007",
"display" : "DEFER - Client is a newborn and parents believed that her/his child is too young to be given vaccination",
"definition" : "Vaccination deferred because client is a newborn and parents believed that her/his child is too young to be given vaccination"
},
{
"code" : "SEIRReasonCode008",
"display" : "DEFER - Child was already vaccinated by private MD, against advise by private MDs, thus parents/caregiver refused",
"definition" : "Vaccination deferred because child was already vaccinated by private MD, against advise by private MDs, thus parents/caregiver refused"
},
{
"code" : "SEIRReasonCode009",
"display" : "DEFER - Peculiar personal beliefs or misconceptions of the parents or caregiver on vaccination; against religious beliefs",
"definition" : "Vaccination deferred due to peculiar personal beliefs or misconceptions of the parents or caregiver on vaccination; against religious beliefs"
},
{
"code" : "SEIRReasonCode010",
"display" : "DEFER - Lack of trust in the vaccinator",
"definition" : "Vaccination deferred due to lack of trust in the vaccinator"
},
{
"code" : "SEIRReasonCode011",
"display" : "DEFER - Child just recovered from illness or just discharged from the hospital",
"definition" : "Vaccination deferred because child just recovered from illness or just discharged from the hospital"
},
{
"code" : "SEIRReasonCode012",
"display" : "DEFER - Unaware of the campaign",
"definition" : "Vaccination deferred because unaware of the campaign"
},
{
"code" : "SEIRReasonCode013",
"display" : "DEFER - Vaccine team did not visit",
"definition" : "Vaccination deferred because vaccine team did not visit"
},
{
"code" : "SEIRReasonCode014",
"display" : "DEFER - Child was from a different area",
"definition" : "Vaccination deferred because child was from a different area"
},
{
"code" : "SEIRReasonCode015",
"display" : "DEFER - Child was acutely sick or not feeling well",
"definition" : "Vaccination deferred because child was acutely sick or not feeling well"
},
{
"code" : "SEIRReasonCode016",
"display" : "DEFER - Do not know/declined to respond",
"definition" : "Vaccination deferred: Do not know/declined to respond"
},
{
"code" : "SEIRReasonCode017",
"display" : "DEFER - Outright refusal",
"definition" : "Vaccination deferred: Outright refusal"
},
{
"code" : "SEIRReasonCode018",
"display" : "DEFER - Vaccine is not available / stock out.",
"definition" : "Vaccination deferred because vaccine is not available / stock out."
},
{
"code" : "SEIRReasonCode019",
"display" : "REFUSE - Parent was absent/away from home.",
"definition" : "Vaccination refused because parent was absent/away from home."
},
{
"code" : "SEIRReasonCode020",
"display" : "REFUSE - Fear of vaccine side effect",
"definition" : "Vaccination refused due to fear of vaccine side effect"
},
{
"code" : "SEIRReasonCode021",
"display" : "REFUSE - Vaccine safety issues (dengue vaccine experience, past adverse experience, etc.)",
"definition" : "Vaccination refused due to vaccine safety issues (dengue vaccine experience, past adverse experience, etc.)"
},
{
"code" : "SEIRReasonCode022",
"display" : "REFUSE - Child already has complete routine vaccination, extra vaccine dose not necessary so parents refused",
"definition" : "Vaccination refused because child already has complete routine vaccination, extra vaccine dose not necessary so parents refused"
},
{
"code" : "SEIRReasonCode023",
"display" : "REFUSE - Fear of COVID transmission",
"definition" : "Vaccination refused due to fear of COVID transmission"
},
{
"code" : "SEIRReasonCode024",
"display" : "REFUSE - Vaccine perceived to be not effective, of low-quality, or on near-expiry",
"definition" : "Vaccination refused because vaccine perceived to be not effective, of low-quality, or on near-expiry"
},
{
"code" : "SEIRReasonCode025",
"display" : "REFUSE - Client is a newborn and parents believed that her/his child is too young to be given vaccination",
"definition" : "Vaccination refused because client is a newborn and parents believed that her/his child is too young to be given vaccination"
},
{
"code" : "SEIRReasonCode026",
"display" : "REFUSE - Child was already vaccinated by private MD, against advise by private MDs, thus parents/caregiver refused",
"definition" : "Vaccination refused because child was already vaccinated by private MD, against advise by private MDs, thus parents/caregiver refused"
},
{
"code" : "SEIRReasonCode027",
"display" : "REFUSE - Peculiar personal beliefs or misconceptions of the parents or caregiver on vaccination; against religious beliefs",
"definition" : "Vaccination refused due to peculiar personal beliefs or misconceptions of the parents or caregiver on vaccination; against religious beliefs"
},
{
"code" : "SEIRReasonCode028",
"display" : "REFUSE - Lack of trust in the vaccinator",
"definition" : "Vaccination refused due to lack of trust in the vaccinator"
},
{
"code" : "SEIRReasonCode029",
"display" : "REFUSE - Child just recovered from illness or just discharged from the hospital",
"definition" : "Vaccination refused because child just recovered from illness or just discharged from the hospital"
},
{
"code" : "SEIRReasonCode030",
"display" : "REFUSE - Unaware of the campaign",
"definition" : "Vaccination refused: Unaware of the campaign"
},
{
"code" : "SEIRReasonCode031",
"display" : "REFUSE - Vaccine team did not visit",
"definition" : "Vaccination refused because vaccine team did not visit"
},
{
"code" : "SEIRReasonCode032",
"display" : "REFUSE - Child was from a different area",
"definition" : "Vaccination refused because child was from a different area"
},
{
"code" : "SEIRReasonCode033",
"display" : "REFUSE - Child was acutely sick or not feeling well",
"definition" : "Vaccination refused because child was acutely sick or not feeling well"
},
{
"code" : "SEIRReasonCode034",
"display" : "REFUSE - Do not know/declined to respond",
"definition" : "Vaccination refused: Do not know/declined to respond"
},
{
"code" : "SEIRReasonCode035",
"display" : "REFUSE - Outright refusal",
"definition" : "Vaccination refused: Outright refusal"
},
{
"code" : "SEIRReasonCode036",
"display" : "REFUSE - Vaccine is not available / stock out.",
"definition" : "Vaccination refused because vaccine is not available / stock out."
},
{
"code" : "SEIRReasonCode998",
"display" : "DEFER - Others",
"definition" : "Vaccination deferred due to other reasons"
},
{
"code" : "SEIRReasonCode999",
"display" : "REFUSE - Others",
"definition" : "Vaccination refused due to other reasons"
}
]
}