<ValueSet xmlns="http://hl7.org/fhir">
  <id value="shr-immunization-ImmunizationNotGivenReasonVS" />
  <text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>SHR ImmunizationNotGivenReasonVS ValueSet</b>
      </p>
      <p>Reasons for an immunization not given or not recommended. SHR does not use http://hl7.org/fhir/ValueSet/no-immunization-reason because it includes SNOMED precoordinated codes,such as SCT#171266004 No consent - diphtheria immunization.</p>
    </div>
  </text>
  <url value="http://standardhealthrecord.org/shr/immunization/vs/ImmunizationNotGivenReasonVS" />
  <identifier>
    <system value="http://standardhealthrecord.org" />
    <value value="shr.immunization.ImmunizationNotGivenReasonVS" />
  </identifier>
  <version value="0.0.1" />
  <name value="SHR ImmunizationNotGivenReasonVS ValueSet" />
  <title value="SHR ImmunizationNotGivenReasonVS ValueSet" />
  <status value="draft" />
  <date value="2017-12-20" />
  <publisher value="The MITRE Corporation: Standard Health Record Collaborative" />
  <contact>
    <telecom>
      <system value="url" />
      <value value="http://standardhealthrecord.org" />
    </telecom>
  </contact>
  <description value="Reasons for an immunization not given or not recommended. SHR does not use http://hl7.org/fhir/ValueSet/no-immunization-reason because it includes SNOMED precoordinated codes,such as SCT#171266004 No consent - diphtheria immunization." />
  <compose>
    <include>
      <system value="http://hl7.org/fhir/v3/ActReason" />
      <concept>
        <code value="IMMUNE" />
        <display value="Testing has shown that the patient already has immunity to the agent targeted by the immunization." />
      </concept>
      <concept>
        <code value="MEDPREC" />
        <display value="The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted. For example, the patient could be pregnant or immunocompromised" />
      </concept>
      <concept>
        <code value="OSTOCK" />
        <display value="There was no supply of the product on hand to perform the service." />
      </concept>
      <concept>
        <code value="PATOBJ" />
        <display value="The patient or their guardian objects to receiving the vaccine." />
      </concept>
    </include>
  </compose>
</ValueSet>