{ "resourceType" : "ValueSet", "id" : "R5-v3-ActNoImmunizationReason-for-R4B", "text" : { "status" : "generated", "div" : "

Generated Narrative: ValueSet R5-v3-ActNoImmunizationReason-for-R4B

This value set expansion contains 8 concepts.

CodeSystemDisplayDefinition
\u00a0\u00a0IMMUNEhttp://terminology.hl7.org/CodeSystem/v3-ActReasonimmunity

**Definition:**Testing has shown that the patient already has immunity to the agent targeted by the immunization.

\n
\u00a0\u00a0MEDPREChttp://terminology.hl7.org/CodeSystem/v3-ActReasonmedical precaution

**Definition:**The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted.

\n
\u00a0\u00a0OSTOCKhttp://terminology.hl7.org/CodeSystem/v3-ActReasonproduct out of stock

**Definition:**There was no supply of the product on hand to perform the service.

\n
\u00a0\u00a0PATOBJhttp://terminology.hl7.org/CodeSystem/v3-ActReasonpatient objection

**Definition:**The patient or their guardian objects to receiving the vaccine.

\n
\u00a0\u00a0PHILISOPhttp://terminology.hl7.org/CodeSystem/v3-ActReasonphilosophical objection

**Definition:**The patient or their guardian objects to receiving the vaccine because of philosophical beliefs.

\n
\u00a0\u00a0RELIGhttp://terminology.hl7.org/CodeSystem/v3-ActReasonreligious objection

**Definition:**The patient or their guardian objects to receiving the vaccine on religious grounds.

\n
\u00a0\u00a0VACEFFhttp://terminology.hl7.org/CodeSystem/v3-ActReasonvaccine efficacy concerns

**Definition:**The intended vaccine has expired or is otherwise believed to no longer be effective.

\n

**Example:**Due to temperature exposure.

\n
\u00a0\u00a0VACSAFhttp://terminology.hl7.org/CodeSystem/v3-ActReasonvaccine safety concerns

**Definition:**The patient or their guardian objects to receiving the vaccine because of concerns over its safety.

\n
" }, "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode" : "fhir" }, { "extension" : [{ "url" : "packageId", "valueId" : "hl7.fhir.uv.xver-r5.r4b" }, { "url" : "version", "valueString" : "0.0.1-snapshot-2" }], "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/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4b" }] } }, { "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/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4b" }] } }], "url" : "http://hl7.org/fhir/5.0/ValueSet/R5-v3-ActNoImmunizationReason-for-R4B", "version" : "0.0.1-snapshot-2", "name" : "R5_v3_ActNoImmunizationReason_for_R4B", "title" : "Cross-version VS for R5.ActNoImmunizationReason for use in FHIR R4B", "status" : "active", "experimental" : false, "date" : "2025-09-01T22:37:04.918572+10:00", "publisher" : "FHIR Infrastructure", "contact" : [{ "name" : "FHIR Infrastructure", "telecom" : [{ "system" : "url", "value" : "http://www.hl7.org/Special/committees/fiwg" }] }], "description" : "This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-ActNoImmunizationReason|2.0.0 for use in FHIR R4B. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4B.", "jurisdiction" : [{ "coding" : [{ "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm", "code" : "001", "display" : "World" }] }], "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" }] }] }, "expansion" : { "timestamp" : "2025-09-01T22:37:04.918573+10:00", "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" }] } }