<ValueSet xmlns="http://hl7.org/fhir">
  <id value="no-immunization-reason" />
  <meta>
    <lastUpdated value="2017-04-19T07:44:43.294+10:00" />
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset" />
  </meta>
  <text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2>Immunization Reasons for Not Immunizing Codes</h2>
      <div>
        <p>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.</p>
      </div>
      <p>
        <b>Copyright Statement:</b> This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement.
            </p>
      <p>This value set includes codes from the following code systems:</p>
      <ul>
        <li>Include these codes as defined in 
                <a href="v3/ActReason/cs.html"><code>http://hl7.org/fhir/v3/ActReason</code></a><table class="none"><tr><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href="v3/ActReason/cs.html#v3-ActReason-IMMUNE">IMMUNE</a></td><td>immunity</td><td>Definition:Testing has shown that the patient already has immunity to the agent targeted by the immunization.</td></tr><tr><td><a href="v3/ActReason/cs.html#v3-ActReason-MEDPREC">MEDPREC</a></td><td>medical precaution</td><td>Definition:The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted.</td></tr><tr><td><a href="v3/ActReason/cs.html#v3-ActReason-OSTOCK">OSTOCK</a></td><td>product out of stock</td><td>Definition:There was no supply of the product on hand to perform the service.</td></tr><tr><td><a href="v3/ActReason/cs.html#v3-ActReason-PATOBJ">PATOBJ</a></td><td>patient objection</td><td>Definition:The patient or their guardian objects to receiving the vaccine.</td></tr></table></li>
        <li>Include codes from 
                <a href="http://www.snomed.org/"><code>http://snomed.info/sct</code></a> where concept  is-a  310376006 (Immunization consent not given)
              </li>
      </ul>
    </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status">
    <valueString value="Informative" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="pher" />
  </extension>
  <url value="http://hl7.org/fhir/ValueSet/no-immunization-reason" />
  <identifier>
    <system value="urn:ietf:rfc:3986" />
    <value value="urn:oid:2.16.840.1.113883.4.642.3.286" />
  </identifier>
  <version value="3.0.1" />
  <name value="Immunization Reasons for Not Immunizing Codes" />
  <status value="draft" />
  <experimental value="true" />
  <date value="2017-04-19T07:44:43+10:00" />
  <publisher value="FHIR Project team" />
  <contact>
    <telecom>
      <system value="url" />
      <value value="http://hl7.org/fhir" />
    </telecom>
  </contact>
  <description value="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." />
  <copyright value="This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement." />
  <compose>
    <include>
      <system value="http://hl7.org/fhir/v3/ActReason" />
      <concept>
        <code value="IMMUNE" />
      </concept>
      <concept>
        <code value="MEDPREC" />
      </concept>
      <concept>
        <code value="OSTOCK" />
      </concept>
      <concept>
        <code value="PATOBJ" />
      </concept>
    </include>
    <include>
      <system value="http://snomed.info/sct" />
      <filter>
        <property value="concept" />
        <op value="is-a" />
        <value value="310376006" />
      </filter>
    </include>
  </compose>
</ValueSet>