@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/5.0/ValueSet/R5-immunization-status-reason-for-R4> a fhir:ValueSet ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "R5-immunization-status-reason-for-R4"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet R5-immunization-status-reason-for-R4</b></p><a name=\"R5-immunization-status-reason-for-R4\"> </a><a name=\"hcR5-immunization-status-reason-for-R4\"> </a><p>This value set expansion contains 8 concepts.</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>System</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-immunization-status-reason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-IMMUNE\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActReason.html#v3-ActReason-IMMUNE\">IMMUNE</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActReason</td><td>immunity</td><td><div><p>**Definition:**Testing has shown that the patient already has immunity to the agent targeted by the immunization.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-immunization-status-reason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-MEDPREC\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActReason.html#v3-ActReason-MEDPREC\">MEDPREC</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActReason</td><td>medical precaution</td><td><div><p>**Definition:**The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-immunization-status-reason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-OSTOCK\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActReason.html#v3-ActReason-OSTOCK\">OSTOCK</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActReason</td><td>product out of stock</td><td><div><p>**Definition:**There was no supply of the product on hand to perform the service.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-immunization-status-reason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-PATOBJ\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActReason.html#v3-ActReason-PATOBJ\">PATOBJ</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActReason</td><td>patient objection</td><td><div><p>**Definition:**The patient or their guardian objects to receiving the vaccine.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-immunization-status-reason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-PHILISOP\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActReason.html#v3-ActReason-PHILISOP\">PHILISOP</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActReason</td><td>philosophical objection</td><td><div><p>**Definition:**The patient or their guardian objects to receiving the vaccine because of philosophical beliefs.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-immunization-status-reason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-RELIG\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActReason.html#v3-ActReason-RELIG\">RELIG</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActReason</td><td>religious objection</td><td><div><p>**Definition:**The patient or their guardian objects to receiving the vaccine on religious grounds.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-immunization-status-reason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-VACEFF\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActReason.html#v3-ActReason-VACEFF\">VACEFF</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActReason</td><td>vaccine efficacy concerns</td><td><div><p>**Definition:**The intended vaccine has expired or is otherwise believed to no longer be effective.</p>\n<p>**Example:**Due to temperature exposure.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-immunization-status-reason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-VACSAF\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActReason.html#v3-ActReason-VACSAF\">VACSAF</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActReason</td><td>vaccine safety concerns</td><td><div><p>**Definition:**The patient or their guardian objects to receiving the vaccine because of concerns over its safety.</p>\n</div></td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:extension ( [
     fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ] ;
     fhir:value [
       a fhir:integer ;
       fhir:v 1
     ]
  ] [
     fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
     fhir:value [
       a fhir:code ;
       fhir:v "pher"
     ]
  ] [
     fhir:extension ( [
       fhir:url [ fhir:v "packageId"^^xsd:anyURI ] ;
       fhir:value [
         a fhir:id ;
         fhir:v "hl7.fhir.uv.xver-r5.r4"
       ]
     ] [
       fhir:url [ fhir:v "version"^^xsd:anyURI ] ;
       fhir:value [
         a fhir:string ;
         fhir:v "0.0.1-snapshot-2"
       ]
     ] ) ;
     fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/package-source"^^xsd:anyURI ]
  ] [
     fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ;
     fhir:value [
       a fhir:code ;
       fhir:v "trial-use" ;
       fhir:extension ( [
         fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ] ;
         fhir:value [
           a fhir:canonical ;
           fhir:v "http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"^^xsd:anyURI ;
           fhir:link <http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4>
         ]
       ] )
     ]
  ] ) ; # 
  fhir:url [ fhir:v "http://hl7.org/fhir/5.0/ValueSet/R5-immunization-status-reason-for-R4"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "0.0.1-snapshot-2"] ; # 
  fhir:name [ fhir:v "R5_immunization_status_reason_for_R4"] ; # 
  fhir:title [ fhir:v "Cross-version VS for R5.ImmunizationStatusReasonCodes for use in FHIR R4"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  fhir:date [ fhir:v "2025-09-01T22:37:02.612628+10:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "Public Health"] ; # 
  fhir:contact ( [
     fhir:name [ fhir:v "Public Health" ] ;
     fhir:telecom ( [
       fhir:system [ fhir:v "url" ] ;
       fhir:value [ fhir:v "http://www.hl7.org/Special/committees/pher" ]
     ] )
  ] ) ; # 
  fhir:description [ fhir:v "This cross-version ValueSet represents concepts from http://hl7.org/fhir/ValueSet/immunization-status-reason|5.0.0 for use in FHIR R4. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4."] ; # 
  fhir:jurisdiction ( [
     fhir:coding ( [
       fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "001" ] ;
       fhir:display [ fhir:v "World" ]
     ] )
  ] ) ; # 
  fhir:compose [
     fhir:include ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
       fhir:version [ fhir:v "2.1.0" ] ;
       fhir:concept ( [
         fhir:code [ fhir:v "IMMUNE" ] ;
         fhir:display [ fhir:v "immunity" ]
       ] [
         fhir:code [ fhir:v "MEDPREC" ] ;
         fhir:display [ fhir:v "medical precaution" ]
       ] [
         fhir:code [ fhir:v "OSTOCK" ] ;
         fhir:display [ fhir:v "product out of stock" ]
       ] [
         fhir:code [ fhir:v "PATOBJ" ] ;
         fhir:display [ fhir:v "patient objection" ]
       ] [
         fhir:code [ fhir:v "PHILISOP" ] ;
         fhir:display [ fhir:v "philosophical objection" ]
       ] [
         fhir:code [ fhir:v "RELIG" ] ;
         fhir:display [ fhir:v "religious objection" ]
       ] [
         fhir:code [ fhir:v "VACEFF" ] ;
         fhir:display [ fhir:v "vaccine efficacy concerns" ]
       ] [
         fhir:code [ fhir:v "VACSAF" ] ;
         fhir:display [ fhir:v "vaccine safety concerns" ]
       ] )
     ] )
  ] ; # 
  fhir:expansion [
     fhir:timestamp [ fhir:v "2025-09-01T22:37:02.612624+10:00"^^xsd:dateTime ] ;
     fhir:contains ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
       fhir:version [ fhir:v "2.1.0" ] ;
       fhir:code [ fhir:v "IMMUNE" ] ;
       fhir:display [ fhir:v "immunity" ]
     ] [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
       fhir:version [ fhir:v "2.1.0" ] ;
       fhir:code [ fhir:v "MEDPREC" ] ;
       fhir:display [ fhir:v "medical precaution" ]
     ] [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
       fhir:version [ fhir:v "2.1.0" ] ;
       fhir:code [ fhir:v "OSTOCK" ] ;
       fhir:display [ fhir:v "product out of stock" ]
     ] [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
       fhir:version [ fhir:v "2.1.0" ] ;
       fhir:code [ fhir:v "PATOBJ" ] ;
       fhir:display [ fhir:v "patient objection" ]
     ] [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
       fhir:version [ fhir:v "2.1.0" ] ;
       fhir:code [ fhir:v "PHILISOP" ] ;
       fhir:display [ fhir:v "philosophical objection" ]
     ] [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
       fhir:version [ fhir:v "2.1.0" ] ;
       fhir:code [ fhir:v "RELIG" ] ;
       fhir:display [ fhir:v "religious objection" ]
     ] [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
       fhir:version [ fhir:v "2.1.0" ] ;
       fhir:code [ fhir:v "VACEFF" ] ;
       fhir:display [ fhir:v "vaccine efficacy concerns" ]
     ] [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
       fhir:version [ fhir:v "2.1.0" ] ;
       fhir:code [ fhir:v "VACSAF" ] ;
       fhir:display [ fhir:v "vaccine safety concerns" ]
     ] )
  ] . # 

# -------------------------------------------------------------------------------------

