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 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="SEIRActionReason"/>
<meta>
<versionId value="4"/>
<lastUpdated value="2025-06-15T12:30:36.261+00:00"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet 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: 4; Last updated: 2025-06-15 12:30:36+0000</p></div><ul><li>Include these codes as defined in <a href="CodeSystem-SEIRActionReason.html"><code>http://seir.dohnip.org/codesystem/action-reason</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="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode001">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode002">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode003">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode004">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode005">SEIRReasonCode005</a></td><td>DEFER - Fear of COVID transmission</td><td>Vaccination deferred due to fear of COVID transmission</td></tr><tr><td><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode006">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode007">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode008">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode009">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode010">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode011">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode012">SEIRReasonCode012</a></td><td>DEFER - Unaware of the campaign</td><td>Vaccination deferred because unaware of the campaign</td></tr><tr><td><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode013">SEIRReasonCode013</a></td><td>DEFER - Vaccine team did not visit</td><td>Vaccination deferred because vaccine team did not visit</td></tr><tr><td><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode014">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode015">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode016">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode017">SEIRReasonCode017</a></td><td>DEFER - Outright refusal</td><td>Vaccination deferred: Outright refusal</td></tr><tr><td><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode018">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode019">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode020">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode021">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode022">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode023">SEIRReasonCode023</a></td><td>REFUSE - Fear of COVID transmission</td><td>Vaccination refused due to fear of COVID transmission</td></tr><tr><td><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode024">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode025">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode026">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode027">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode028">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode029">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode030">SEIRReasonCode030</a></td><td>REFUSE - Unaware of the campaign</td><td>Vaccination refused: Unaware of the campaign</td></tr><tr><td><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode031">SEIRReasonCode031</a></td><td>REFUSE - Vaccine team did not visit</td><td>Vaccination refused because vaccine team did not visit</td></tr><tr><td><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode032">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode033">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode034">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode035">SEIRReasonCode035</a></td><td>REFUSE - Outright refusal</td><td>Vaccination refused: Outright refusal</td></tr><tr><td><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode036">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><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode998">SEIRReasonCode998</a></td><td>DEFER - Others</td><td>Vaccination deferred due to other reasons</td></tr><tr><td><a href="CodeSystem-SEIRActionReason.html#SEIRActionReason-SEIRReasonCode999">SEIRReasonCode999</a></td><td>REFUSE - Others</td><td>Vaccination refused due to other reasons</td></tr></table></li></ul></div>
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<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"/>
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<description
value="Synchronized Electronic Immunization Repository (SEIR)'s reason when refusing or deferring immunization administration."/>
<jurisdiction>
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<system value="urn:iso:std:iso:3166"/>
<code value="PH"/>
<display value="Philippines"/>
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<compose>
<include>
<system value="http://seir.dohnip.org/codesystem/action-reason"/>
<concept>
<code value="SEIRReasonCode001"/>
<display value="DEFER - Parent was absent/away from home."/>
</concept>
<concept>
<code value="SEIRReasonCode002"/>
<display value="DEFER - Fear of vaccine side effect"/>
</concept>
<concept>
<code value="SEIRReasonCode003"/>
<display
value="DEFER - 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"/>
</concept>
<concept>
<code value="SEIRReasonCode005"/>
<display value="DEFER - 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"/>
</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"/>
</concept>
<concept>
<code value="SEIRReasonCode008"/>
<display
value="DEFER - 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"/>
</concept>
<concept>
<code value="SEIRReasonCode010"/>
<display value="DEFER - 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"/>
</concept>
<concept>
<code value="SEIRReasonCode012"/>
<display value="DEFER - Unaware of the campaign"/>
</concept>
<concept>
<code value="SEIRReasonCode013"/>
<display value="DEFER - Vaccine team did not visit"/>
</concept>
<concept>
<code value="SEIRReasonCode014"/>
<display value="DEFER - Child was from a different area"/>
</concept>
<concept>
<code value="SEIRReasonCode015"/>
<display value="DEFER - Child was acutely sick or not feeling well"/>
</concept>
<concept>
<code value="SEIRReasonCode016"/>
<display value="DEFER - Do not know/declined to respond"/>
</concept>
<concept>
<code value="SEIRReasonCode017"/>
<display value="DEFER - Outright refusal"/>
</concept>
<concept>
<code value="SEIRReasonCode018"/>
<display value="DEFER - Vaccine is not available / stock out."/>
</concept>
<concept>
<code value="SEIRReasonCode019"/>
<display value="REFUSE - Parent was absent/away from home."/>
</concept>
<concept>
<code value="SEIRReasonCode020"/>
<display value="REFUSE - Fear of vaccine side effect"/>
</concept>
<concept>
<code value="SEIRReasonCode021"/>
<display
value="REFUSE - 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"/>
</concept>
<concept>
<code value="SEIRReasonCode023"/>
<display value="REFUSE - 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"/>
</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"/>
</concept>
<concept>
<code value="SEIRReasonCode026"/>
<display
value="REFUSE - 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"/>
</concept>
<concept>
<code value="SEIRReasonCode028"/>
<display value="REFUSE - 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"/>
</concept>
<concept>
<code value="SEIRReasonCode030"/>
<display value="REFUSE - Unaware of the campaign"/>
</concept>
<concept>
<code value="SEIRReasonCode031"/>
<display value="REFUSE - Vaccine team did not visit"/>
</concept>
<concept>
<code value="SEIRReasonCode032"/>
<display value="REFUSE - Child was from a different area"/>
</concept>
<concept>
<code value="SEIRReasonCode033"/>
<display value="REFUSE - Child was acutely sick or not feeling well"/>
</concept>
<concept>
<code value="SEIRReasonCode034"/>
<display value="REFUSE - Do not know/declined to respond"/>
</concept>
<concept>
<code value="SEIRReasonCode035"/>
<display value="REFUSE - Outright refusal"/>
</concept>
<concept>
<code value="SEIRReasonCode036"/>
<display value="REFUSE - Vaccine is not available / stock out."/>
</concept>
<concept>
<code value="SEIRReasonCode998"/>
<display value="DEFER - Others"/>
</concept>
<concept>
<code value="SEIRReasonCode999"/>
<display value="REFUSE - Others"/>
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