<?xml version="1.0" encoding="UTF-8"?>

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="medication-refused-reason"/>
  <text>
    <status value="extensions"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet medication-refused-reason</b></p><a name="medication-refused-reason"> </a><a name="hcmedication-refused-reason"> </a><ul><li>Include these codes as defined in <a href="CodeSystem-medication-administration-codesystem.html"><code>https://fhir.slade360.co.ke/fhir/CodeSystem/medication-administration-codesystem</code></a><span title="Version is not explicitly stated, which means it is fixed to the version provided in this specification"> version &#x1F4E6;0.1.0</span><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-medication-administration-codesystem.html#medication-administration-codesystem-patient-refused">patient-refused</a></td><td>Patient refused</td><td>The patient declined the dose.</td></tr><tr><td><a href="CodeSystem-medication-administration-codesystem.html#medication-administration-codesystem-unable-to-swallow">unable-to-swallow</a></td><td>Unable to swallow</td><td>The patient could not swallow the dose.</td></tr><tr><td><a href="CodeSystem-medication-administration-codesystem.html#medication-administration-codesystem-adverse-effect-reported">adverse-effect-reported</a></td><td>Adverse effect reported by patient</td><td>The patient declined the dose, reporting an adverse effect from it.</td></tr></table></li></ul></div>
  </text>
  <url value="https://fhir.slade360.co.ke/fhir/ValueSet/medication-refused-reason"/>
  <version value="0.1.0"/>
  <name value="SGHIMedicationRefusedReason"/>
  <title value="SGHI Medication Refused Reason"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-09-15T11:40:24+00:00"/>
  <publisher value="Kathurima Kimathi"/>
  <contact>
    <name value="Kathurima Kimathi"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.linkedin.com/in/kathurima-kimathi/"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="kathurimakimathi415@gmail.com"/>
    </telecom>
  </contact>
  <contact>
    <name value="Oscar John"/>
    <telecom>
      <system value="email"/>
      <value value="oscarjohnotieno@gmail.com"/>
      <use value="work"/>
    </telecom>
  </contact>
  <contact>
    <name value="Kennedy Omondi"/>
    <telecom>
      <system value="email"/>
      <value value="kennankole@gmail.com"/>
      <use value="work"/>
    </telecom>
  </contact>
  <description value="Why a patient did not take a dose. The patient's own decision, as distinct from a clinical decision to hold and from a dose that simply passed."/>
  <compose>
    <include>
      <system value="https://fhir.slade360.co.ke/fhir/CodeSystem/medication-administration-codesystem"/>
      <concept>
        <code value="patient-refused"/>
        <display value="Patient refused"/>
      </concept>
      <concept>
        <code value="unable-to-swallow"/>
        <display value="Unable to swallow"/>
      </concept>
      <concept>
        <code value="adverse-effect-reported"/>
        <display value="Adverse effect reported by patient"/>
      </concept>
    </include>
  </compose>
</ValueSet>