• Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-ActReason
    Code Display Definition
    IMMUNE immunity **Definition:**Testing has shown that the patient already has immunity to the agent targeted by the immunization.
    MEDPREC medical precaution **Definition:**The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted.
    OSTOCK product out of stock **Definition:**There was no supply of the product on hand to perform the service.
    PATOBJ patient objection **Definition:**The patient or their guardian objects to receiving the vaccine.
    PHILISOP philosophical objection **Definition:**The patient or their guardian objects to receiving the vaccine because of philosophical beliefs.
    RELIG religious objection **Definition:**The patient or their guardian objects to receiving the vaccine on religious grounds.
    VACEFF vaccine efficacy concerns **Definition:**The intended vaccine has expired or is otherwise believed to no longer be effective.

    **Example:**Due to temperature exposure.
    VACSAF vaccine safety concerns **Definition:**The patient or their guardian objects to receiving the vaccine because of concerns over its safety.
<status value="draft"/> <experimental value="true"/> <publisher value="FHIR Project team"/> <contact> <telecom> <system value="url"/> <value value="http://hl7.org/fhir"/> </telecom> </contact> <description value="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 not administered. This value set is provided as a suggestive example."/> <jurisdiction> <coding> <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> <code value="001"/> <display value="World"/> </coding> </jurisdiction> <copyright value="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"/> <compose> <include> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <concept> <code value="IMMUNE"/> </concept> <concept> <code value="MEDPREC"/> </concept> <concept> <code value="OSTOCK"/> </concept> <concept> <code value="PATOBJ"/> </concept> <concept> <code value="PHILISOP"/> </concept> <concept> <code value="RELIG"/> </concept> <concept> <code value="VACEFF"/> </concept> <concept> <code value="VACSAF"/> </concept> </include> </compose> </ValueSet>