Extensions for Using Data Elements from FHIR R5 in FHIR STU3
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Extensions for Using Data Elements from FHIR R5 in FHIR STU3 - Downloaded Version null See the Directory of published versions

: R5ImmunizationStatusReasonForR3 - XML Representation

Page standards status: Trial-use Maturity Level: 1

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="R5-immunization-status-reason-for-R3"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet R5-immunization-status-reason-for-R3</b></p><a name="R5-immunization-status-reason-for-R3"> </a><a name="hcR5-immunization-status-reason-for-R3"> </a><p>This value set expansion contains 8 concepts.</p><table class="codes"><tr><td><b>System</b></td><td><b>Version</b></td><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a name="R5-immunization-status-reason-for-R3-http://terminology.hl7.org/CodeSystem/v3-ActReason-IMMUNE"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-IMMUNE">IMMUNE</a></td><td>immunity</td><td><div><p><strong>Definition:</strong>Testing has shown that the patient already has immunity to the agent targeted by the immunization.</p>
</div></td></tr><tr><td><a name="R5-immunization-status-reason-for-R3-http://terminology.hl7.org/CodeSystem/v3-ActReason-MEDPREC"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-MEDPREC">MEDPREC</a></td><td>medical precaution</td><td><div><p><strong>Definition:</strong>The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted.</p>
</div></td></tr><tr><td><a name="R5-immunization-status-reason-for-R3-http://terminology.hl7.org/CodeSystem/v3-ActReason-OSTOCK"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-OSTOCK">OSTOCK</a></td><td>product out of stock</td><td><div><p><strong>Definition:</strong>There was no supply of the product on hand to perform the service.</p>
</div></td></tr><tr><td><a name="R5-immunization-status-reason-for-R3-http://terminology.hl7.org/CodeSystem/v3-ActReason-PATOBJ"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-PATOBJ">PATOBJ</a></td><td>patient objection</td><td><div><p><strong>Definition:</strong>The patient or their guardian objects to receiving the vaccine.</p>
</div></td></tr><tr><td><a name="R5-immunization-status-reason-for-R3-http://terminology.hl7.org/CodeSystem/v3-ActReason-PHILISOP"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-PHILISOP">PHILISOP</a></td><td>philosophical objection</td><td><div><p><strong>Definition:</strong>The patient or their guardian objects to receiving the vaccine because of philosophical beliefs.</p>
</div></td></tr><tr><td><a name="R5-immunization-status-reason-for-R3-http://terminology.hl7.org/CodeSystem/v3-ActReason-RELIG"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-RELIG">RELIG</a></td><td>religious objection</td><td><div><p><strong>Definition:</strong>The patient or their guardian objects to receiving the vaccine on religious grounds.</p>
</div></td></tr><tr><td><a name="R5-immunization-status-reason-for-R3-http://terminology.hl7.org/CodeSystem/v3-ActReason-VACEFF"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-VACEFF">VACEFF</a></td><td>vaccine efficacy concerns</td><td><div><p><strong>Definition:</strong>The intended vaccine has expired or is otherwise believed to no longer be effective.</p>
<p><strong>Example:</strong>Due to temperature exposure.</p>
</div></td></tr><tr><td><a name="R5-immunization-status-reason-for-R3-http://terminology.hl7.org/CodeSystem/v3-ActReason-VACSAF"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-VACSAF">VACSAF</a></td><td>vaccine safety concerns</td><td><div><p><strong>Definition:</strong>The patient or their guardian objects to receiving the vaccine because of concerns over its safety.</p>
</div></td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="pher"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/package-source">
    <extension url="packageId">
      <valueId value="hl7.fhir.uv.xver-r5.r3"/>
    </extension>
    <extension url="version">
      <valueString value="0.1.0"/>
    </extension>
    <extension url="uri">
      <valueUri
                value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueUri
                  value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/uv/xver/ValueSet/R5-immunization-status-reason-for-R3"/>
  <version value="0.1.0"/>
  <name value="R5ImmunizationStatusReasonForR3"/>
  <title
         value="Cross-version ValueSet R5.ImmunizationStatusReasonCodes for use in FHIR STU3"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-03-17T21:02:03.8104715+00:00"/>
  <publisher value="Public Health"/>
  <contact>
    <name value="Public Health"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/pher"/>
    </telecom>
  </contact>
  <description
               value="This cross-version ValueSet represents content from `http://hl7.org/fhir/ValueSet/immunization-status-reason|5.0.0` for use in FHIR STU3."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <purpose
           value="This value set is part of the cross-version definitions generated to enable use of the
value set `http://hl7.org/fhir/ValueSet/immunization-status-reason|5.0.0` as defined in FHIR R5
in FHIR STU3.

The source value set is bound to the following FHIR R5 elements:
* `Immunization.statusReason` as Example

Across FHIR versions, the value set has been mapped as:
* `http://hl7.org/fhir/ValueSet/immunization-status-reason|5.0.0`
* `http://hl7.org/fhir/ValueSet/immunization-status-reason|4.3.0`
* `http://hl7.org/fhir/ValueSet/immunization-status-reason|4.0.1`

Note that all concepts are included in this cross-version definition because no concepts have compatible representations

Following are the generation technical comments:
All concepts in the comparison are listed as identical.
The source value set has more active concepts (8) than the target (0), so the source is broader than the target.
All concepts in the comparison are listed as identical.
The source and target value sets have the same number of active concepts (0).
FHIR ValueSet `http://hl7.org/fhir/ValueSet/immunization-status-reason|5.0.0`, defined in FHIR R5 does not have any mapping to FHIR STU3"/>
  <compose>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <concept>
        <code value="IMMUNE"/>
        <display value="immunity"/>
      </concept>
      <concept>
        <code value="MEDPREC"/>
        <display value="medical precaution"/>
      </concept>
      <concept>
        <code value="OSTOCK"/>
        <display value="product out of stock"/>
      </concept>
      <concept>
        <code value="PATOBJ"/>
        <display value="patient objection"/>
      </concept>
      <concept>
        <code value="PHILISOP"/>
        <display value="philosophical objection"/>
      </concept>
      <concept>
        <code value="RELIG"/>
        <display value="religious objection"/>
      </concept>
      <concept>
        <code value="VACEFF"/>
        <display value="vaccine efficacy concerns"/>
      </concept>
      <concept>
        <code value="VACSAF"/>
        <display value="vaccine safety concerns"/>
      </concept>
    </include>
  </compose>
  <expansion>
    <timestamp value="2026-03-17T21:02:03.8104715+00:00"/>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="IMMUNE"/>
      <display value="immunity"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="MEDPREC"/>
      <display value="medical precaution"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="OSTOCK"/>
      <display value="product out of stock"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="PATOBJ"/>
      <display value="patient objection"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="PHILISOP"/>
      <display value="philosophical objection"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="RELIG"/>
      <display value="religious objection"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="VACEFF"/>
      <display value="vaccine efficacy concerns"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="VACSAF"/>
      <display value="vaccine safety concerns"/>
    </contains>
  </expansion>
</ValueSet>