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 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="R5-v3-ActNoImmunizationReason-for-R4"/>
<text>
<status value="generated"/>
<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"> <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>
</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"> <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>
</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"> <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>
</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"> <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>
</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"> <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>
</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"> <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>
</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"> <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>
<p>**Example:**Due to temperature exposure.</p>
</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"> <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>
</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"> <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>
<p>(important for public health strategy</p>
</div></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fhir"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/package-source">
<extension url="packageId">
<valueId value="hl7.fhir.uv.xver-r5.r4"/>
</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.r4"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="0">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
</extension>
</valueInteger>
</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">
<valueCanonical
value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-ActNoImmunizationReason-for-R4"/>
<version value="0.1.0"/>
<name value="R5V3ActNoImmunizationReasonForR4"/>
<title
value="Cross-version ValueSet R5.ActNoImmunizationReason for use in FHIR R4"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-03-17T21:02:03.8104715+00:00"/>
<publisher value="FHIR Infrastructure"/>
<contact>
<name value="FHIR Infrastructure"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/fiwg"/>
</telecom>
</contact>
<description
value="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 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://terminology.hl7.org/ValueSet/v3-ActNoImmunizationReason|2.0.0` as defined in FHIR R5
in FHIR R4.
The source value set is bound to the following FHIR R5 elements:
*
Note that all concepts are included in this cross-version definition because no concepts have compatible representations
Following are the generation technical comments:
FHIR 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 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>
<concept>
<code value="_ActNoImmunizationReason"/>
<display value="ActNoImmunizationReason"/>
</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>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<version value="2.1.0"/>
<code value="_ActNoImmunizationReason"/>
<display value="ActNoImmunizationReason"/>
</contains>
</expansion>
</ValueSet>