Current Build Value Set

Pharmacy Work Group Maturity Level: 1Draft Use Context: Not Intended for Production use

This is a value set defined by the FHIR project.


Defining URL:
Name:SNOMED CT Reason Medication Not Given Codes

This value set includes all medication refused, medication not administered, and non-administration of necessary drug or medicine codes from SNOMED CT - provided as an exemplar value set.

Committee:Pharmacy Work Group
OID:2.16.840.1.113883.4.642.3.342 (for OID based terminology systems)
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.
Source ResourceXML / JSON

This value set is used in the following places:

This value set includes codes from the following code systems:


This expansion generated 07 Aug 2018

This value set contains 50 concepts

All codes from system

134396000 Statin declined
134397009 Angiotensin converting enzyme inhibitor declined
134398004 Warfarin declined
135812004 Nitrate declined
135814003 Diuretic declined
135825007 Calcium channel blocker declined
182895007 Drug declined by patient
182896008 Drug declined by patient - dislikes taste
182897004 Drug declined by patient - side effects
182898009 Drug declined by patient - inconvenient
182899001 Drug declined by patient - problem swallowing
182900006 Drug declined by patient - patient beliefs
182901005 Drug declined by patient - alternative therapy
182902003 Drug declined by patient - cannot pay script
182903008 Drug declined by patient - reason unknown
315020006 Beta blocker therapy refused
315022003 Nicotine replacement therapy refused
315023008 Aspirin prophylaxis refused
315640000 Influenza vaccination declined
390914001 Thrombolytic therapy refused
395176007 Bupropion refused
395703005 Meningitis C immunization refused
401084003 Angiotensin II receptor antagonist declined
401086001 Pneumococcal vaccination declined
407583007 Clopidogrel declined
408778004 Hepatitis B immunization declined
408791003 BCG vaccination declined
408795007 Vitamin K prophylaxis declined
413559006 Anticoagulation declined
416522000 Strontium ranelate declined
417045009 Combined calcium and vitamin D3 preparation declined
438765003 Human papillomavirus vaccination declined
473149004 Long acting reversible contraception declined
698460003 Antiviral therapy declined
698758004 Nebivolol therapy refused
698950001 Influenza A virus subtype H1N1 vaccination declined
699137009 Carvedilol therapy declined
700359005 Booster meningitis C vaccination declined
703989007 Teriparatide therapy declined
703991004 Raloxifene therapy declined
704047009 Phosphodiesterase 5 inhibitor declined
591000119102 Vaccine refused by patient
921000119109 Vaccine refused by parent
373147003 Medication not administered because contraindicated
373148008 Thrombolytic agent not administered because contraindicated
712985002 Chemotherapy not done
6021000175100 Vaccination for diphtheria, pertussis, and tetanus not done
6031000175102 Varicella vaccination not done
6041000175108 Hepatitis A vaccination not done
6051000175105 Hepatitis B vaccination not done


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Explanation of the columns that may appear on this page:

LvlA 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
SourceThe source of the definition of the code (when the value set draws in codes defined elsewhere)
CodeThe code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')
DisplayThe 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
DefinitionAn explanation of the meaning of the concept
CommentsAdditional notes about how to use the code