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 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="SEIRActionReason"/>
<meta>
<versionId value="6"/>
<lastUpdated value="2025-06-15T12:29:37.604+00:00"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<url value="http://seir.dohnip.org/codesystem/action-reason"/>
<version value="0.1.0"/>
<name value="SEIR___Action_Reason"/>
<title value="SEIR Action Reason"/>
<status value="draft"/>
<date value="2025-08-29T07:12:28+00:00"/>
<publisher value="UP Manila SILab"/>
<contact>
<name value="UP Manila SILab"/>
<telecom>
<system value="url"/>
<value value="https://github.com/UP-Manila-SILab"/>
</telecom>
</contact>
<description
value="Synchronized Electronic Immunization Repository (SEIR)'s reason when refusing or deferring immunization administration."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="PH"/>
<display value="Philippines"/>
</coding>
</jurisdiction>
<caseSensitive value="true"/>
<valueSet value="http://seir.dohnip.org/valueset/action-reason"/>
<compositional value="false"/>
<versionNeeded value="true"/>
<content value="complete"/>
<count value="38"/>
<concept>
<code value="SEIRReasonCode001"/>
<display value="DEFER - Parent was absent/away from home."/>
<definition
value="Vaccination deferred because parent was absent/away from home."/>
</concept>
<concept>
<code value="SEIRReasonCode002"/>
<display value="DEFER - Fear of vaccine side effect"/>
<definition
value="Vaccination deferred due to fear of vaccine side effect"/>
</concept>
<concept>
<code value="SEIRReasonCode003"/>
<display
value="DEFER - Vaccine safety issues (dengue vaccine experience, past adverse experience, etc.)"/>
<definition
value="Vaccination deferred due to vaccine safety issues (dengue vaccine experience, past adverse experience, etc.)"/>
</concept>
<concept>
<code value="SEIRReasonCode004"/>
<display
value="DEFER - Child already has complete routine vaccination, extra vaccine dose not necessary so parents refused"/>
<definition
value="Vaccination deferred because child already has complete routine vaccination, extra vaccine dose not necessary so parents refused"/>
</concept>
<concept>
<code value="SEIRReasonCode005"/>
<display value="DEFER - Fear of COVID transmission"/>
<definition
value="Vaccination deferred due to fear of COVID transmission"/>
</concept>
<concept>
<code value="SEIRReasonCode006"/>
<display
value="DEFER - Vaccine perceived to be not effective, of low-quality, or on near-expiry"/>
<definition
value="Vaccination deferred because vaccine perceived to be not effective, of low-quality, or on near-expiry"/>
</concept>
<concept>
<code value="SEIRReasonCode007"/>
<display
value="DEFER - Client is a newborn and parents believed that her/his child is too young to be given vaccination"/>
<definition
value="Vaccination deferred because client is a newborn and parents believed that her/his child is too young to be given vaccination"/>
</concept>
<concept>
<code value="SEIRReasonCode008"/>
<display
value="DEFER - Child was already vaccinated by private MD, against advise by private MDs, thus parents/caregiver refused"/>
<definition
value="Vaccination deferred because child was already vaccinated by private MD, against advise by private MDs, thus parents/caregiver refused"/>
</concept>
<concept>
<code value="SEIRReasonCode009"/>
<display
value="DEFER - Peculiar personal beliefs or misconceptions of the parents or caregiver on vaccination; against religious beliefs"/>
<definition
value="Vaccination deferred due to peculiar personal beliefs or misconceptions of the parents or caregiver on vaccination; against religious beliefs"/>
</concept>
<concept>
<code value="SEIRReasonCode010"/>
<display value="DEFER - Lack of trust in the vaccinator"/>
<definition
value="Vaccination deferred due to lack of trust in the vaccinator"/>
</concept>
<concept>
<code value="SEIRReasonCode011"/>
<display
value="DEFER - Child just recovered from illness or just discharged from the hospital"/>
<definition
value="Vaccination deferred because child just recovered from illness or just discharged from the hospital"/>
</concept>
<concept>
<code value="SEIRReasonCode012"/>
<display value="DEFER - Unaware of the campaign"/>
<definition value="Vaccination deferred because unaware of the campaign"/>
</concept>
<concept>
<code value="SEIRReasonCode013"/>
<display value="DEFER - Vaccine team did not visit"/>
<definition
value="Vaccination deferred because vaccine team did not visit"/>
</concept>
<concept>
<code value="SEIRReasonCode014"/>
<display value="DEFER - Child was from a different area"/>
<definition
value="Vaccination deferred because child was from a different area"/>
</concept>
<concept>
<code value="SEIRReasonCode015"/>
<display value="DEFER - Child was acutely sick or not feeling well"/>
<definition
value="Vaccination deferred because child was acutely sick or not feeling well"/>
</concept>
<concept>
<code value="SEIRReasonCode016"/>
<display value="DEFER - Do not know/declined to respond"/>
<definition
value="Vaccination deferred: Do not know/declined to respond"/>
</concept>
<concept>
<code value="SEIRReasonCode017"/>
<display value="DEFER - Outright refusal"/>
<definition value="Vaccination deferred: Outright refusal"/>
</concept>
<concept>
<code value="SEIRReasonCode018"/>
<display value="DEFER - Vaccine is not available / stock out."/>
<definition
value="Vaccination deferred because vaccine is not available / stock out."/>
</concept>
<concept>
<code value="SEIRReasonCode019"/>
<display value="REFUSE - Parent was absent/away from home."/>
<definition
value="Vaccination refused because parent was absent/away from home."/>
</concept>
<concept>
<code value="SEIRReasonCode020"/>
<display value="REFUSE - Fear of vaccine side effect"/>
<definition
value="Vaccination refused due to fear of vaccine side effect"/>
</concept>
<concept>
<code value="SEIRReasonCode021"/>
<display
value="REFUSE - Vaccine safety issues (dengue vaccine experience, past adverse experience, etc.)"/>
<definition
value="Vaccination refused due to vaccine safety issues (dengue vaccine experience, past adverse experience, etc.)"/>
</concept>
<concept>
<code value="SEIRReasonCode022"/>
<display
value="REFUSE - Child already has complete routine vaccination, extra vaccine dose not necessary so parents refused"/>
<definition
value="Vaccination refused because child already has complete routine vaccination, extra vaccine dose not necessary so parents refused"/>
</concept>
<concept>
<code value="SEIRReasonCode023"/>
<display value="REFUSE - Fear of COVID transmission"/>
<definition
value="Vaccination refused due to fear of COVID transmission"/>
</concept>
<concept>
<code value="SEIRReasonCode024"/>
<display
value="REFUSE - Vaccine perceived to be not effective, of low-quality, or on near-expiry"/>
<definition
value="Vaccination refused because vaccine perceived to be not effective, of low-quality, or on near-expiry"/>
</concept>
<concept>
<code value="SEIRReasonCode025"/>
<display
value="REFUSE - Client is a newborn and parents believed that her/his child is too young to be given vaccination"/>
<definition
value="Vaccination refused because client is a newborn and parents believed that her/his child is too young to be given vaccination"/>
</concept>
<concept>
<code value="SEIRReasonCode026"/>
<display
value="REFUSE - Child was already vaccinated by private MD, against advise by private MDs, thus parents/caregiver refused"/>
<definition
value="Vaccination refused because child was already vaccinated by private MD, against advise by private MDs, thus parents/caregiver refused"/>
</concept>
<concept>
<code value="SEIRReasonCode027"/>
<display
value="REFUSE - Peculiar personal beliefs or misconceptions of the parents or caregiver on vaccination; against religious beliefs"/>
<definition
value="Vaccination refused due to peculiar personal beliefs or misconceptions of the parents or caregiver on vaccination; against religious beliefs"/>
</concept>
<concept>
<code value="SEIRReasonCode028"/>
<display value="REFUSE - Lack of trust in the vaccinator"/>
<definition
value="Vaccination refused due to lack of trust in the vaccinator"/>
</concept>
<concept>
<code value="SEIRReasonCode029"/>
<display
value="REFUSE - Child just recovered from illness or just discharged from the hospital"/>
<definition
value="Vaccination refused because child just recovered from illness or just discharged from the hospital"/>
</concept>
<concept>
<code value="SEIRReasonCode030"/>
<display value="REFUSE - Unaware of the campaign"/>
<definition value="Vaccination refused: Unaware of the campaign"/>
</concept>
<concept>
<code value="SEIRReasonCode031"/>
<display value="REFUSE - Vaccine team did not visit"/>
<definition
value="Vaccination refused because vaccine team did not visit"/>
</concept>
<concept>
<code value="SEIRReasonCode032"/>
<display value="REFUSE - Child was from a different area"/>
<definition
value="Vaccination refused because child was from a different area"/>
</concept>
<concept>
<code value="SEIRReasonCode033"/>
<display value="REFUSE - Child was acutely sick or not feeling well"/>
<definition
value="Vaccination refused because child was acutely sick or not feeling well"/>
</concept>
<concept>
<code value="SEIRReasonCode034"/>
<display value="REFUSE - Do not know/declined to respond"/>
<definition value="Vaccination refused: Do not know/declined to respond"/>
</concept>
<concept>
<code value="SEIRReasonCode035"/>
<display value="REFUSE - Outright refusal"/>
<definition value="Vaccination refused: Outright refusal"/>
</concept>
<concept>
<code value="SEIRReasonCode036"/>
<display value="REFUSE - Vaccine is not available / stock out."/>
<definition
value="Vaccination refused because vaccine is not available / stock out."/>
</concept>
<concept>
<code value="SEIRReasonCode998"/>
<display value="DEFER - Others"/>
<definition value="Vaccination deferred due to other reasons"/>
</concept>
<concept>
<code value="SEIRReasonCode999"/>
<display value="REFUSE - Others"/>
<definition value="Vaccination refused due to other reasons"/>
</concept>
</CodeSystem>