This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version.  For a full list of available versions, see the Directory of published versions 
. Page versions: R5 R4B R4
Public Health and Emergency Response   Work Group | Maturity Level: 1 | Draft | Use Context: Country: World, Not Intended for Production use | 
      Official URL: http://hl7.org/fhir/ValueSet/immunization-status-reason
     | 
    Version: 5.0.0 | |||
| draft as of 2023-03-26 | Computable Name: ImmunizationStatusReasonCodes | |||
| Flags: Experimental | OID: 2.16.840.1.113883.4.642.3.992 | |||
This value set is used in the following places:
The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the reason why a dose of vaccine was not administered. This value set is provided as a suggestive example.
http://terminology.hl7.org/CodeSystem/v3-ActReason 
| Code | Display | Definition | 
IMMUNE ![]()  | immunity | **Definition:**Testing has shown that the patient already has immunity to the agent targeted by the immunization. | 
MEDPREC ![]()  | medical precaution | **Definition:**The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted. | 
OSTOCK ![]()  | product out of stock | **Definition:**There was no supply of the product on hand to perform the service. | 
PATOBJ ![]()  | patient objection | **Definition:**The patient or their guardian objects to receiving the vaccine. | 
PHILISOP ![]()  | philosophical objection | **Definition:**The patient or their guardian objects to receiving the vaccine because of philosophical beliefs. | 
RELIG ![]()  | religious objection | **Definition:**The patient or their guardian objects to receiving the vaccine on religious grounds. | 
VACEFF ![]()  | vaccine efficacy concerns | **Definition:**The intended vaccine has expired or is otherwise believed to no longer be effective. **Example:**Due to temperature exposure.  | 
VACSAF ![]()  | vaccine safety concerns | **Definition:**The patient or their guardian objects to receiving the vaccine because of concerns over its safety. | 
This expansion generated 26 Mar 2023
This value set contains 8 concepts
Expansion based on ActReason v2.1.0 (CodeSystem) 
| Code | System | Display | Definition | 
   IMMUNE ![]()  | http://terminology.hl7.org/CodeSystem/v3-ActReason | immunity | **Definition:**Testing has shown that the patient already has immunity to the agent targeted by the immunization.  | 
   MEDPREC ![]()  | http://terminology.hl7.org/CodeSystem/v3-ActReason | medical precaution | **Definition:**The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted.  | 
   OSTOCK ![]()  | http://terminology.hl7.org/CodeSystem/v3-ActReason | product out of stock | **Definition:**There was no supply of the product on hand to perform the service.  | 
   PATOBJ ![]()  | http://terminology.hl7.org/CodeSystem/v3-ActReason | patient objection | **Definition:**The patient or their guardian objects to receiving the vaccine.  | 
   PHILISOP ![]()  | http://terminology.hl7.org/CodeSystem/v3-ActReason | philosophical objection | **Definition:**The patient or their guardian objects to receiving the vaccine because of philosophical beliefs.  | 
   RELIG ![]()  | http://terminology.hl7.org/CodeSystem/v3-ActReason | religious objection | **Definition:**The patient or their guardian objects to receiving the vaccine on religious grounds.  | 
   VACEFF ![]()  | http://terminology.hl7.org/CodeSystem/v3-ActReason | vaccine efficacy concerns | **Definition:**The intended vaccine has expired or is otherwise believed to no longer be effective. **Example:**Due to temperature exposure.  | 
   VACSAF ![]()  | http://terminology.hl7.org/CodeSystem/v3-ActReason | vaccine safety concerns | **Definition:**The patient or their guardian objects to receiving the vaccine because of concerns over its safety.  | 
See the full registry of value sets defined as part of FHIR.
Explanation of the columns that may appear on this page:
| Lvl | A few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information | 
| Source | The source of the definition of the code (when the value set draws in codes defined elsewhere) | 
| Code | The code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract') | 
| Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application | 
| Definition | An explanation of the meaning of the concept | 
| Comments | Additional notes about how to use the code |