R4 Draft for Comment

This page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

4.3.1.290 Value Set http://hl7.org/fhir/ValueSet/immunization-reason

Public Health and Emergency Response Work Group Maturity Level: 1Draft Use Context: Not Intended for Production use

This is a value set defined by the FHIR project.

Summary

Defining URL:http://hl7.org/fhir/ValueSet/immunization-reason
Name:Immunization Reason Codes
Definition:

The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the reason why a dose of vaccine was or was not administered. This value set is provided as a suggestive example.

Committee:Public Health and Emergency Response Work Group
OID:2.16.840.1.113883.4.642.3.290 (for OID based terminology systems)
Copyright:This resource includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org
Source ResourceXML / JSON

This value set is used in the following places:

4.3.1.290.1 Content Logical Definition

This value set includes codes from the following code systems:

  • Include these codes as defined in http://snomed.info/sct
    CodeDisplay
    429060002 Procedure to meet occupational requirement
    281657000 Travel vaccinations
  • Include these codes as defined in http://hl7.org/fhir/v3/ActReason
    CodeDisplay
    IMMUNEimmunityDefinition:Testing has shown that the patient already has immunity to the agent targeted by the immunization.
    MEDPRECmedical precautionDefinition:The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted.
    OSTOCKproduct out of stockDefinition:There was no supply of the product on hand to perform the service.
    PATOBJpatient objectionDefinition:The patient or their guardian objects to receiving the vaccine.
  • Include codes from http://snomed.info/sct where concept is-a 310376006 (Immunization consent not given)

 

4.3.1.290.2 Expansion

This expansion generated 20 Dec 2017

This value set contains 29 concepts

Expansion based on http://hl7.org/fhir/v3/ActReason version 2017-07-31

CodeSystemDisplayDefinition
429060002 http://snomed.info/sctProcedure to meet occupational requirement
281657000 http://snomed.info/sctTravel vaccinations
IMMUNEhttp://hl7.org/fhir/v3/ActReasonimmunityDefinition:Testing has shown that the patient already has immunity to the agent targeted by the immunization.
MEDPREChttp://hl7.org/fhir/v3/ActReasonmedical precautionDefinition:The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted.
OSTOCKhttp://hl7.org/fhir/v3/ActReasonproduct out of stockDefinition:There was no supply of the product on hand to perform the service.
PATOBJhttp://hl7.org/fhir/v3/ActReasonpatient objectionDefinition:The patient or their guardian objects to receiving the vaccine.
171257003 http://snomed.info/sctNo consent - Tetanus/low dose diphtheria vaccine
171265000 http://snomed.info/sctPertussis vaccine refused
171266004 http://snomed.info/sctNo consent - diphtheria immunization
171267008 http://snomed.info/sctNo consent - tetanus immunization
171268003 http://snomed.info/sctPolio immunization refused
171269006 http://snomed.info/sctNo consent - measles immunization
171270007 http://snomed.info/sctNo consent - rubella immunization
171271006 http://snomed.info/sctNo consent - BCG
171272004 http://snomed.info/sctNo consent - influenza immunization
171280006 http://snomed.info/sctNo consent for MMR
171283008 http://snomed.info/sctNo consent for any primary immunization
171285001 http://snomed.info/sctNo consent - pre-school vaccinations
171286000 http://snomed.info/sctNo consent - school exit vaccinations
171291004 http://snomed.info/sctNo consent - Haemophilus influenzae type B immunization
171292006 http://snomed.info/sctNo consent pneumococcal immunization
171293001 http://snomed.info/sctNo consent for MR - Measles/rubella vaccine
268559007 http://snomed.info/sctNo consent for any immunization
310839003 http://snomed.info/sctNo consent for MMR1
310840001 http://snomed.info/sctNo consent for measles/mumps/rubella two
314768003 http://snomed.info/sctNo consent DTP immunization
314769006 http://snomed.info/sctNo consent DT immunization
314936001 http://snomed.info/sctNo consent for meningitis C immunization
407598009 http://snomed.info/sctNo consent for 3rd HIB booster

 

See the full registry of value sets defined as part of FHIR.

Explanation of the columns that may appear on this page:

LvlA few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organise codes for user convenience, but may follow code system hierarchy - see Code System for further information
SourceThe source of the definition of the code (when the value set draws in codes defined elsewhere)
CodeThe code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')
DisplayThe display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
DefinitionAn explanation of the meaning of the concept
CommentsAdditional notes about how to use the code