{
"description": "Situation codes describing the reason that a procedure, which might otherwise be expected, was not performed, or a procedure that was started and was not completed. Consists of SNOMED CT codes, children of procedure contraindicated (183932001), procedure discontinued (416406003), procedure not done (416237000), procedure not indicated (428119001), procedure not offered (416064006), procedure not wanted (416432009), procedure refused (183944003), and procedure stopped (394908001) as well as 410536001 Contraindicated (qualifier value).",
"compose": {
"include": [ {
"filter": [ {
"op": "is-a",
"value": "183932001",
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"system": "http://snomed.info/sct"
}, {
"filter": [ {
"op": "is-a",
"value": "416406003",
"property": "concept"
} ],
"system": "http://snomed.info/sct"
}, {
"filter": [ {
"op": "is-a",
"value": "416237000",
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} ],
"system": "http://snomed.info/sct"
}, {
"filter": [ {
"op": "is-a",
"value": "428119001",
"property": "concept"
} ],
"system": "http://snomed.info/sct"
}, {
"filter": [ {
"op": "is-a",
"value": "416064006",
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} ],
"system": "http://snomed.info/sct"
}, {
"filter": [ {
"op": "is-a",
"value": "416432009",
"property": "concept"
} ],
"system": "http://snomed.info/sct"
}, {
"filter": [ {
"op": "is-a",
"value": "183944003",
"property": "concept"
} ],
"system": "http://snomed.info/sct"
}, {
"filter": [ {
"op": "is-a",
"value": "394908001",
"property": "concept"
} ],
"system": "http://snomed.info/sct"
}, {
"system": "http://snomed.info/sct",
"concept": [ {
"code": "410536001"
} ]
} ]
},
"_filename": "ValueSet-procedure-not-performed-reason.json",
"package_name": "hl7.fhir.r6.expansions",
"date": null,
"meta": {
"profile": [ "http://hl7.org/fhir/StructureDefinition/shareablevalueset" ],
"lastUpdated": "2025-04-01T12:16:37.966+11:00"
},
"publisher": "Health Level Seven, Inc. - CQI WG",
"jurisdiction": [ {
"coding": [ {
"code": "001",
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"display": "World"
} ]
} ],
"name": "ProcedureNotPerformedReasonSNOMEDCT",
"copyright": "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",
"type": null,
"experimental": "false",
"resourceType": "ValueSet",
"expansion": {
"offset": 0,
"contains": [ {
"code": "183932001",
"system": "http://snomed.info/sct",
"display": "Procedure contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Procedure contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "135809002",
"system": "http://snomed.info/sct",
"display": "Nitrate contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Nitrate contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "135811006",
"system": "http://snomed.info/sct",
"display": "Diuretic contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Diuretic contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "135822005",
"system": "http://snomed.info/sct",
"display": "Lipid lowering therapy contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Lipid lowering therapy contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "135823000",
"system": "http://snomed.info/sct",
"display": "Calcium channel blocker contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Calcium channel blocker contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "169551000",
"system": "http://snomed.info/sct",
"display": "Contraception contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Contraception contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "170954008",
"system": "http://snomed.info/sct",
"display": "HRT contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Hormone replacement therapy (HRT) contraindicated",
"language": "en"
}, {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Hormone replacement therapy contraindicated (situation)",
"language": "en"
}, {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Hormone replacement therapy contraindicated",
"language": "en"
} ]
}, {
"code": "171277005",
"system": "http://snomed.info/sct",
"display": "Sensitivity contraindicated - immunisation",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Sensitivity C/I - immunization",
"language": "en"
}, {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Sensitivity contraindicated - immunization",
"language": "en"
}, {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Sensitivity C/I - immunisation",
"language": "en"
}, {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Sensitivity contraindicated - immunization (situation)",
"language": "en"
} ]
}, {
"code": "171284002",
"system": "http://snomed.info/sct",
"display": "Pertussis vaccine contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Pertussis vaccine contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "183934000",
"system": "http://snomed.info/sct",
"display": "Sensitivity C/I to procedure",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Sensitivity contraindication to procedure",
"language": "en"
}, {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Sensitivity contraindication to procedure (situation)",
"language": "en"
} ]
}, {
"code": "183936003",
"system": "http://snomed.info/sct",
"display": "Contraindication to live immunisation",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Contraindication to live immunization",
"language": "en"
}, {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Contraindication to live immunization (situation)",
"language": "en"
} ]
}, {
"code": "266757004",
"system": "http://snomed.info/sct",
"display": "Medical contraindication to procedure",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Medical contraindication to procedure (situation)",
"language": "en"
} ]
}, {
"code": "266758009",
"system": "http://snomed.info/sct",
"display": "Immunisation contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Immunization contraindicated",
"language": "en"
}, {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Immunization contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "275935009",
"system": "http://snomed.info/sct",
"display": "Surgery contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Surgery contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "275974002",
"system": "http://snomed.info/sct",
"display": "MMR (measles, mumps, and rubella) vaccine contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Measles, mumps, and rubella vaccine contraindicated (situation)",
"language": "en"
}, {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Measles, mumps, and rubella vaccine contraindicated",
"language": "en"
} ]
}, {
"code": "312451002",
"system": "http://snomed.info/sct",
"display": "Aspirin prophylaxis contra-indicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Aspirin prophylaxis contra-indicated (situation)",
"language": "en"
} ]
}, {
"code": "315061006",
"system": "http://snomed.info/sct",
"display": "Warfarin contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Warfarin contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "315062004",
"system": "http://snomed.info/sct",
"display": "Beta blocker contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Beta blocker contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "315363002",
"system": "http://snomed.info/sct",
"display": "Statins contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Statins contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "315364008",
"system": "http://snomed.info/sct",
"display": "Angiotensin converting enzyme inhibitors contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Angiotensin converting enzyme inhibitors contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "315591006",
"system": "http://snomed.info/sct",
"display": "Fibrates contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Fibrates contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "390795005",
"system": "http://snomed.info/sct",
"display": "Pneumococcal vaccination contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Pneumococcal vaccination contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "390796006",
"system": "http://snomed.info/sct",
"display": "Influenza vaccination contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Influenza vaccination contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "390910005",
"system": "http://snomed.info/sct",
"display": "Thrombolysis contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Thrombolysis contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "394987009",
"system": "http://snomed.info/sct",
"display": "Angiotensin II receptor antagonists contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Angiotensin II receptor antagonists contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "395174005",
"system": "http://snomed.info/sct",
"display": "Nicotine replacement therapy contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Nicotine replacement therapy contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "395175006",
"system": "http://snomed.info/sct",
"display": "Bupropion contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Bupropion contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "395675007",
"system": "http://snomed.info/sct",
"display": "Oral contraceptive pill contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "OCP contraindicated",
"language": "en"
}, {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Oral contraceptive pill contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "407582002",
"system": "http://snomed.info/sct",
"display": "Clopidogrel contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Clopidogrel contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "413558003",
"system": "http://snomed.info/sct",
"display": "Anticoagulation contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Anticoagulation contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "414055003",
"system": "http://snomed.info/sct",
"display": "Drug dependence home detoxification contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Drug dependence home detoxification contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "414159007",
"system": "http://snomed.info/sct",
"display": "Exercise tolerance test contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Exercise tolerance test contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "414677003",
"system": "http://snomed.info/sct",
"display": "Metformin contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Metformin contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "415571003",
"system": "http://snomed.info/sct",
"display": "Spirometry reversibility testing contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Spirometry reversibility testing contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "415666001",
"system": "http://snomed.info/sct",
"display": "Administration of sulfonylurea contraindicated (situation)",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Administration of sulphonylurea contraindicated",
"language": "en"
}, {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Administration of sulfonylurea contraindicated",
"language": "en"
} ]
}, {
"code": "416091008",
"system": "http://snomed.info/sct",
"display": "Glitazones contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Glitazones contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "416475003",
"system": "http://snomed.info/sct",
"display": "Combined calcium and vitamin D3 preparation contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Combined calcium and vitamin D3 preparation contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "416704001",
"system": "http://snomed.info/sct",
"display": "DXA scan contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Dual X-ray absorptiometry (DXA) scan contraindicated",
"language": "en"
}, {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Dual X-ray absorptiometry scan contraindicated",
"language": "en"
}, {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Dual X-ray absorptiometry scan contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "416759002",
"system": "http://snomed.info/sct",
"display": "Non-steroidal anti-inflammatory drugs contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "NSAID contraindicated",
"language": "en"
}, {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Non-steroidal anti-inflammatory drugs contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "416996000",
"system": "http://snomed.info/sct",
"display": "Strontium ranelate contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Strontium ranelate contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "417101006",
"system": "http://snomed.info/sct",
"display": "Selective estrogen receptor modulator contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Selective oestrogen receptor modulator contraindicated",
"language": "en"
}, {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Selective estrogen receptor modulator contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "417128001",
"system": "http://snomed.info/sct",
"display": "Bisphosphonates contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Bisphosphonates contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "438767006",
"system": "http://snomed.info/sct",
"display": "Termination of pregnancy contraindicated (situation)",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Termination of pregnancy contraindicated",
"language": "en"
} ]
}, {
"code": "438833006",
"system": "http://snomed.info/sct",
"display": "Administration of drug or medicament contraindicated (situation)",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Administration of drug or medicament contraindicated",
"language": "en"
}, {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Administration of medication contraindicated",
"language": "en"
} ]
}, {
"code": "698468005",
"system": "http://snomed.info/sct",
"display": "Bisoprolol contraindicated (situation)",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Bisoprolol contraindicated",
"language": "en"
} ]
}, {
"code": "698521002",
"system": "http://snomed.info/sct",
"display": "Simvastatin contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Simvastatin contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "699037006",
"system": "http://snomed.info/sct",
"display": "Hepatitis B vaccination contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Hepatitis B vaccination contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "703997000",
"system": "http://snomed.info/sct",
"display": "Teriparatide contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Teriparatide contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "703999002",
"system": "http://snomed.info/sct",
"display": "Raloxifene contraindicated",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Raloxifene contraindicated (situation)",
"language": "en"
} ]
}, {
"code": "707298000",
"system": "http://snomed.info/sct",
"display": "Phosphodiesterase-5 inhibitor contraindicated (situation)",
"designation": [ {
"use": {
"code": "display",
"system": "http://terminology.hl7.org/CodeSystem/designation-usage"
},
"value": "Phosphodiesterase-5 inhibitor contraindicated",
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}, {
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