Extensions for Using Data Elements from FHIR R5 in FHIR R4
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR R4
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR R4 - Downloaded Version null See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 0 |
{
"resourceType" : "ValueSet",
"id" : "R5-v3-ActNoImmunizationReason-for-R4",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet R5-v3-ActNoImmunizationReason-for-R4</b></p><a name=\"R5-v3-ActNoImmunizationReason-for-R4\"> </a><a name=\"hcR5-v3-ActNoImmunizationReason-for-R4\"> </a><p>This value set expansion contains 9 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-v3-ActNoImmunizationReason-for-R4-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\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-IMMUNE\">IMMUNE</a></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><a name=\"R5-v3-ActNoImmunizationReason-for-R4-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\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-MEDPREC\">MEDPREC</a></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><a name=\"R5-v3-ActNoImmunizationReason-for-R4-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\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-OSTOCK\">OSTOCK</a></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><a name=\"R5-v3-ActNoImmunizationReason-for-R4-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\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-PATOBJ\">PATOBJ</a></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><a name=\"R5-v3-ActNoImmunizationReason-for-R4-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\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-PHILISOP\">PHILISOP</a></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><a name=\"R5-v3-ActNoImmunizationReason-for-R4-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\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-RELIG\">RELIG</a></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><a name=\"R5-v3-ActNoImmunizationReason-for-R4-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\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-VACEFF\">VACEFF</a></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><a name=\"R5-v3-ActNoImmunizationReason-for-R4-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\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-VACSAF\">VACSAF</a></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><tr><td><a name=\"R5-v3-ActNoImmunizationReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-_ActNoImmunizationReason\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-_ActNoImmunizationReason\">_ActNoImmunizationReason</a></td><td>ActNoImmunizationReason</td><td><div><p>A coded description of the reason for why a patient did not receive a scheduled immunization.</p>\n<p>(important for public health strategy</p>\n</div></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "fhir"
},
{
"extension" : [
{
"url" : "packageId",
"valueId" : "hl7.fhir.uv.xver-r5.r4"
},
{
"url" : "version",
"valueString" : "0.1.0"
},
{
"url" : "uri",
"valueUri" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/package-source"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 0,
"_valueInteger" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
}
]
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "trial-use",
"_valueCode" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
}
]
}
}
],
"url" : "http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-ActNoImmunizationReason-for-R4",
"version" : "0.1.0",
"name" : "R5V3ActNoImmunizationReasonForR4",
"title" : "Cross-version ValueSet R5.ActNoImmunizationReason for use in FHIR R4",
"status" : "active",
"experimental" : false,
"date" : "2026-03-17T21:02:03.8104715+00:00",
"publisher" : "FHIR Infrastructure",
"contact" : [
{
"name" : "FHIR Infrastructure",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/fiwg"
}
]
}
],
"description" : "This cross-version ValueSet represents content from `http://terminology.hl7.org/ValueSet/v3-ActNoImmunizationReason|2.0.0` for use in FHIR R4.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001",
"display" : "World"
}
]
}
],
"purpose" : "This value set is part of the cross-version definitions generated to enable use of the\r\nvalue set `http://terminology.hl7.org/ValueSet/v3-ActNoImmunizationReason|2.0.0` as defined in FHIR R5\r\nin FHIR R4.\r\n\r\nThe source value set is bound to the following FHIR R5 elements:\r\n* \r\n\r\nNote that all concepts are included in this cross-version definition because no concepts have compatible representations\r\n\r\nFollowing are the generation technical comments:\r\n\nFHIR ValueSet `http://terminology.hl7.org/ValueSet/v3-ActNoImmunizationReason|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR R4",
"compose" : {
"include" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"concept" : [
{
"code" : "IMMUNE",
"display" : "immunity"
},
{
"code" : "MEDPREC",
"display" : "medical precaution"
},
{
"code" : "OSTOCK",
"display" : "product out of stock"
},
{
"code" : "PATOBJ",
"display" : "patient objection"
},
{
"code" : "PHILISOP",
"display" : "philosophical objection"
},
{
"code" : "RELIG",
"display" : "religious objection"
},
{
"code" : "VACEFF",
"display" : "vaccine efficacy concerns"
},
{
"code" : "VACSAF",
"display" : "vaccine safety concerns"
},
{
"code" : "_ActNoImmunizationReason",
"display" : "ActNoImmunizationReason"
}
]
}
]
},
"expansion" : {
"timestamp" : "2026-03-17T21:02:03.8104715+00:00",
"contains" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "IMMUNE",
"display" : "immunity"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "MEDPREC",
"display" : "medical precaution"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "OSTOCK",
"display" : "product out of stock"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "PATOBJ",
"display" : "patient objection"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "PHILISOP",
"display" : "philosophical objection"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "RELIG",
"display" : "religious objection"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "VACEFF",
"display" : "vaccine efficacy concerns"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "VACSAF",
"display" : "vaccine safety concerns"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "_ActNoImmunizationReason",
"display" : "ActNoImmunizationReason"
}
]
}
}
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r5.r4#0.1.0 based on FHIR 4.0.1. Generated 2026-03-20
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