Draft Immunization FHIR Implementation Guide
0.1.0 - ci-build Philippines flag

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

: SEIR Action Reason - TTL Representation

Draft as of 2025-08-29

Raw ttl | Download

@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "SEIRActionReason"] ; # 
  fhir:meta [
fhir:versionId [ fhir:v "6" ] ;
fhir:lastUpdated [ fhir:v "2025-06-15T12:29:37.604+00:00"^^xsd:dateTime ]
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>"^^rdf:XMLLiteral
  ] ; # 
  fhir:url [ fhir:v "http://seir.dohnip.org/codesystem/action-reason"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "SEIR___Action_Reason"] ; # 
  fhir:title [ fhir:v "SEIR Action Reason"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:date [ fhir:v "2025-08-29T07:12:28+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "UP Manila SILab"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "UP Manila SILab" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://github.com/UP-Manila-SILab" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Synchronized Electronic Immunization Repository (SEIR)'s reason when refusing or deferring immunization administration."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PH" ] ;
fhir:display [ fhir:v "Philippines" ]     ] )
  ] ) ; # 
  fhir:caseSensitive [ fhir:v true] ; # 
  fhir:valueSet [
fhir:v "http://seir.dohnip.org/valueset/action-reason"^^xsd:anyURI ;
fhir:link <http://seir.dohnip.org/valueset/action-reason>
  ] ; # 
  fhir:compositional [ fhir:v false] ; # 
  fhir:versionNeeded [ fhir:v true] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:count [ fhir:v "38"^^xsd:nonNegativeInteger] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "SEIRReasonCode001" ] ;
fhir:display [ fhir:v "DEFER - Parent was absent/away from home." ] ;
fhir:definition [ fhir:v "Vaccination deferred because parent was absent/away from home." ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode002" ] ;
fhir:display [ fhir:v "DEFER - Fear of vaccine side effect" ] ;
fhir:definition [ fhir:v "Vaccination deferred due to fear of vaccine side effect" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode003" ] ;
fhir:display [ fhir:v "DEFER - Vaccine safety issues (dengue vaccine experience, past adverse experience, etc.)" ] ;
fhir:definition [ fhir:v "Vaccination deferred due to vaccine safety issues (dengue vaccine experience, past adverse experience, etc.)" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode004" ] ;
fhir:display [ fhir:v "DEFER - Child already has complete routine vaccination, extra vaccine dose not necessary so parents refused" ] ;
fhir:definition [ fhir:v "Vaccination deferred because child already has complete routine vaccination, extra vaccine dose not necessary so parents refused" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode005" ] ;
fhir:display [ fhir:v "DEFER - Fear of COVID transmission" ] ;
fhir:definition [ fhir:v "Vaccination deferred due to fear of COVID transmission" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode006" ] ;
fhir:display [ fhir:v "DEFER - Vaccine perceived to be not effective, of low-quality, or on near-expiry" ] ;
fhir:definition [ fhir:v "Vaccination deferred because vaccine perceived to be not effective, of low-quality, or on near-expiry" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode007" ] ;
fhir:display [ fhir:v "DEFER - Client is a newborn and parents believed that her/his child is too young to be given vaccination" ] ;
fhir:definition [ fhir:v "Vaccination deferred because client is a newborn and parents believed that her/his child is too young to be given vaccination" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode008" ] ;
fhir:display [ fhir:v "DEFER - Child was already vaccinated by private MD, against advise by private MDs, thus parents/caregiver refused" ] ;
fhir:definition [ fhir:v "Vaccination deferred because child was already vaccinated by private MD, against advise by private MDs, thus parents/caregiver refused" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode009" ] ;
fhir:display [ fhir:v "DEFER - Peculiar personal beliefs or misconceptions of the parents or caregiver on vaccination; against religious beliefs" ] ;
fhir:definition [ fhir:v "Vaccination deferred due to peculiar personal beliefs or misconceptions of the parents or caregiver on vaccination; against religious beliefs" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode010" ] ;
fhir:display [ fhir:v "DEFER - Lack of trust in the vaccinator" ] ;
fhir:definition [ fhir:v "Vaccination deferred due to lack of trust in the vaccinator" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode011" ] ;
fhir:display [ fhir:v "DEFER - Child just recovered from illness or just discharged from the hospital" ] ;
fhir:definition [ fhir:v "Vaccination deferred because child just recovered from illness or just discharged from the hospital" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode012" ] ;
fhir:display [ fhir:v "DEFER - Unaware of the campaign" ] ;
fhir:definition [ fhir:v "Vaccination deferred because unaware of the campaign" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode013" ] ;
fhir:display [ fhir:v "DEFER - Vaccine team did not visit" ] ;
fhir:definition [ fhir:v "Vaccination deferred because vaccine team did not visit" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode014" ] ;
fhir:display [ fhir:v "DEFER - Child was from a different area" ] ;
fhir:definition [ fhir:v "Vaccination deferred because child was from a different area" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode015" ] ;
fhir:display [ fhir:v "DEFER - Child was acutely sick or not feeling well" ] ;
fhir:definition [ fhir:v "Vaccination deferred because child was acutely sick or not feeling well" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode016" ] ;
fhir:display [ fhir:v "DEFER - Do not know/declined to respond" ] ;
fhir:definition [ fhir:v "Vaccination deferred: Do not know/declined to respond" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode017" ] ;
fhir:display [ fhir:v "DEFER - Outright refusal" ] ;
fhir:definition [ fhir:v "Vaccination deferred: Outright refusal" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode018" ] ;
fhir:display [ fhir:v "DEFER - Vaccine is not available / stock out." ] ;
fhir:definition [ fhir:v "Vaccination deferred because vaccine is not available / stock out." ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode019" ] ;
fhir:display [ fhir:v "REFUSE - Parent was absent/away from home." ] ;
fhir:definition [ fhir:v "Vaccination refused because parent was absent/away from home." ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode020" ] ;
fhir:display [ fhir:v "REFUSE - Fear of vaccine side effect" ] ;
fhir:definition [ fhir:v "Vaccination refused due to fear of vaccine side effect" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode021" ] ;
fhir:display [ fhir:v "REFUSE - Vaccine safety issues (dengue vaccine experience, past adverse experience, etc.)" ] ;
fhir:definition [ fhir:v "Vaccination refused due to vaccine safety issues (dengue vaccine experience, past adverse experience, etc.)" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode022" ] ;
fhir:display [ fhir:v "REFUSE - Child already has complete routine vaccination, extra vaccine dose not necessary so parents refused" ] ;
fhir:definition [ fhir:v "Vaccination refused because child already has complete routine vaccination, extra vaccine dose not necessary so parents refused" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode023" ] ;
fhir:display [ fhir:v "REFUSE - Fear of COVID transmission" ] ;
fhir:definition [ fhir:v "Vaccination refused due to fear of COVID transmission" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode024" ] ;
fhir:display [ fhir:v "REFUSE - Vaccine perceived to be not effective, of low-quality, or on near-expiry" ] ;
fhir:definition [ fhir:v "Vaccination refused because vaccine perceived to be not effective, of low-quality, or on near-expiry" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode025" ] ;
fhir:display [ fhir:v "REFUSE - Client is a newborn and parents believed that her/his child is too young to be given vaccination" ] ;
fhir:definition [ fhir:v "Vaccination refused because client is a newborn and parents believed that her/his child is too young to be given vaccination" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode026" ] ;
fhir:display [ fhir:v "REFUSE - Child was already vaccinated by private MD, against advise by private MDs, thus parents/caregiver refused" ] ;
fhir:definition [ fhir:v "Vaccination refused because child was already vaccinated by private MD, against advise by private MDs, thus parents/caregiver refused" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode027" ] ;
fhir:display [ fhir:v "REFUSE - Peculiar personal beliefs or misconceptions of the parents or caregiver on vaccination; against religious beliefs" ] ;
fhir:definition [ fhir:v "Vaccination refused due to peculiar personal beliefs or misconceptions of the parents or caregiver on vaccination; against religious beliefs" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode028" ] ;
fhir:display [ fhir:v "REFUSE - Lack of trust in the vaccinator" ] ;
fhir:definition [ fhir:v "Vaccination refused due to lack of trust in the vaccinator" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode029" ] ;
fhir:display [ fhir:v "REFUSE - Child just recovered from illness or just discharged from the hospital" ] ;
fhir:definition [ fhir:v "Vaccination refused because child just recovered from illness or just discharged from the hospital" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode030" ] ;
fhir:display [ fhir:v "REFUSE - Unaware of the campaign" ] ;
fhir:definition [ fhir:v "Vaccination refused: Unaware of the campaign" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode031" ] ;
fhir:display [ fhir:v "REFUSE - Vaccine team did not visit" ] ;
fhir:definition [ fhir:v "Vaccination refused because vaccine team did not visit" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode032" ] ;
fhir:display [ fhir:v "REFUSE - Child was from a different area" ] ;
fhir:definition [ fhir:v "Vaccination refused because child was from a different area" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode033" ] ;
fhir:display [ fhir:v "REFUSE - Child was acutely sick or not feeling well" ] ;
fhir:definition [ fhir:v "Vaccination refused because child was acutely sick or not feeling well" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode034" ] ;
fhir:display [ fhir:v "REFUSE - Do not know/declined to respond" ] ;
fhir:definition [ fhir:v "Vaccination refused: Do not know/declined to respond" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode035" ] ;
fhir:display [ fhir:v "REFUSE - Outright refusal" ] ;
fhir:definition [ fhir:v "Vaccination refused: Outright refusal" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode036" ] ;
fhir:display [ fhir:v "REFUSE - Vaccine is not available / stock out." ] ;
fhir:definition [ fhir:v "Vaccination refused because vaccine is not available / stock out." ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode998" ] ;
fhir:display [ fhir:v "DEFER - Others" ] ;
fhir:definition [ fhir:v "Vaccination deferred due to other reasons" ]
  ] [
fhir:code [ fhir:v "SEIRReasonCode999" ] ;
fhir:display [ fhir:v "REFUSE - Others" ] ;
fhir:definition [ fhir:v "Vaccination refused due to other reasons" ]
  ] ) . #