{
  "resourceType": "ValueSet",
  "id": "no-immunization-reason",
  "meta": {
    "lastUpdated": "2017-04-18T21:44:43.294+00:00",
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/shareablevalueset"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <h2>Immunization Reasons for Not Immunizing Codes</h2>\n            <div>\n              <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>\n\n            </div>\n            <p>\n              <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.\n            </p>\n            <p>This value set includes codes from the following code systems:</p>\n            <ul>\n              <li>Include these codes as defined in \n                <a href=\"v3/ActReason/cs.html\">\n                  <code>http://hl7.org/fhir/v3/ActReason</code>\n                </a>\n                <table class=\"none\">\n                  <tr>\n                    <td>\n                      <b>Code</b>\n                    </td>\n                    <td>\n                      <b>Display</b>\n                    </td>\n                  </tr>\n                  <tr>\n                    <td>\n                      <a href=\"v3/ActReason/cs.html#v3-ActReason-IMMUNE\">IMMUNE</a>\n                    </td>\n                    <td>immunity</td>\n                    <td>Definition:Testing has shown that the patient already has immunity to the agent targeted by the immunization.</td>\n                  </tr>\n                  <tr>\n                    <td>\n                      <a href=\"v3/ActReason/cs.html#v3-ActReason-MEDPREC\">MEDPREC</a>\n                    </td>\n                    <td>medical precaution</td>\n                    <td>Definition:The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted.</td>\n                  </tr>\n                  <tr>\n                    <td>\n                      <a href=\"v3/ActReason/cs.html#v3-ActReason-OSTOCK\">OSTOCK</a>\n                    </td>\n                    <td>product out of stock</td>\n                    <td>Definition:There was no supply of the product on hand to perform the service.</td>\n                  </tr>\n                  <tr>\n                    <td>\n                      <a href=\"v3/ActReason/cs.html#v3-ActReason-PATOBJ\">PATOBJ</a>\n                    </td>\n                    <td>patient objection</td>\n                    <td>Definition:The patient or their guardian objects to receiving the vaccine.</td>\n                  </tr>\n                </table>\n              </li>\n              <li>Include codes from \n                <a href=\"http://www.snomed.org/\">\n                  <code>http://snomed.info/sct</code>\n                </a> where concept  is-a  310376006 (Immunization consent not given)\n              </li>\n            </ul>\n          </div>"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status",
      "valueString": "Informative"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 1
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "pher"
    }
  ],
  "url": "http://hl7.org/fhir/ValueSet/no-immunization-reason",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.4.642.3.286"
    }
  ],
  "version": "3.0.1",
  "name": "Immunization Reasons for Not Immunizing Codes",
  "status": "draft",
  "experimental": true,
  "date": "2017-04-18T21:44:43+00:00",
  "publisher": "FHIR Project team",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org/fhir"
        }
      ]
    }
  ],
  "description": "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": "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": "http://hl7.org/fhir/v3/ActReason",
        "concept": [
          {
            "code": "IMMUNE"
          },
          {
            "code": "MEDPREC"
          },
          {
            "code": "OSTOCK"
          },
          {
            "code": "PATOBJ"
          }
        ]
      },
      {
        "system": "http://snomed.info/sct",
        "filter": [
          {
            "property": "concept",
            "op": "is-a",
            "value": "310376006"
          }
        ]
      }
    ]
  }
}