<status value="draft"/><experimental value="true"/><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."/><jurisdiction><coding><system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/><code value="001"/><display value="World"/></coding></jurisdiction><copyright value="This resource includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org"/><compose><include><system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/><concept><code value="IMMUNE"/></concept><concept><code value="MEDPREC"/></concept><concept><code value="OSTOCK"/></concept><concept><code value="PATOBJ"/></concept><concept><code value="PHILISOP"/></concept><concept><code value="RELIG"/></concept><concept><code value="VACEFF"/></concept><concept><code value="VACSAF"/></concept></include></compose></ValueSet>

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.