<status value="draft"/> <date value="2026-09-02T22:18:14-04:00"/> <publisher value="FHIR-FLI"/> <contact> <name value="FHIR-FLI"/> <telecom> <system value="url"/> <value value="http://fhirfli.dev"/> </telecom> </contact> <description value="Why the engine forecast what it did. The ImmDS ForecastReason code system covers four of these; the rest have no ImmDS concept, and the ImmDS binding on ImmunizationRecommendation.recommendation.forecastReason is example strength, so they travel as a second coding rather than being dropped."/> <caseSensitive value="true"/> <content value="complete"/> <count value="10"/> <concept> <code value="series-complete"/> <display value="Patient series is complete"/> <definition value="Every target dose in the series is satisfied. Maps to ImmDS #complete."/> </concept> <concept> <code value="not-recommended-history"/> <display value="Not recommended at this time due to past immunization history"/> <definition value="Maps to ImmDS #notRecommended."/> </concept> <concept> <code value="exceeded-maximum-age"/> <display value="Patient has exceeded the maximum age"/> <definition value="Maps to ImmDS #maximumAge."/> </concept> <concept> <code value="past-seasonal-end"/> <display value="Past seasonal recommendation end date"/> <definition value="Maps to ImmDS #seasonalPast."/> </concept> <concept> <code value="complete-for-the-season"/> <display value="Patient is complete for the season"/> <definition value="The series is complete for the current season and a further dose falls in a later one. Maps to ImmDS #seasonalComplete. A deliberate deviation from CDSi, which has no such reason: ACIP defines influenza and RSV recommendations by season, and without this a patient who has had this year's dose is indistinguishable from one who never needs another."/> </concept> <concept> <code value="evidence-of-immunity"/> <display value="Patient has evidence of immunity"/> <definition value="No ImmDS concept."/> </concept> <concept> <code value="contraindication"/> <display value="Patient has a contraindication"/> <definition value="No ImmDS concept."/> </concept> <concept> <code value="cannot-finish-before-maximum-age"/> <display value="Patient is unable to finish the series prior to the maximum age"/> <definition value="No ImmDS concept."/> </concept> <concept> <code value="below-minimum-age-to-start"/> <display value="Patient has not reached the minimum age to start"/> <definition value="No ImmDS concept."/> </concept> <concept> <code value="shared-clinical-decision-making"/> <display value="Recommended by shared clinical decision-making"/> <definition value="ACIP recommends this series by shared clinical decision-making rather than routinely, so it is not a care gap. Read from CDC's own marking in the series name, and for HPV from the 27-45 year band CDC states in its guidance. No CDSi or ImmDS concept; ICE calls it CLINICAL_PATIENT

Generated Narrative: CodeSystem forecast-reason

This case-sensitive code system http://fhirfli.dev/fhir/ig/cicada/CodeSystem/forecast-reason defines the following codes:

Code	Display	Definition
series-complete	Patient series is complete	Every target dose in the series is satisfied. Maps to ImmDS #complete.
not-recommended-history	Not recommended at this time due to past immunization history	Maps to ImmDS #notRecommended.
exceeded-maximum-age	Patient has exceeded the maximum age	Maps to ImmDS #maximumAge.
past-seasonal-end	Past seasonal recommendation end date	Maps to ImmDS #seasonalPast.
complete-for-the-season	Patient is complete for the season	The series is complete for the current season and a further dose falls in a later one. Maps to ImmDS #seasonalComplete. A deliberate deviation from CDSi, which has no such reason: ACIP defines influenza and RSV recommendations by season, and without this a patient who has had this year's dose is indistinguishable from one who never needs another.
evidence-of-immunity	Patient has evidence of immunity	No ImmDS concept.
contraindication	Patient has a contraindication	No ImmDS concept.
cannot-finish-before-maximum-age	Patient is unable to finish the series prior to the maximum age	No ImmDS concept.
below-minimum-age-to-start	Patient has not reached the minimum age to start	No ImmDS concept.
shared-clinical-decision-making	Recommended by shared clinical decision-making	ACIP recommends this series by shared clinical decision-making rather than routinely, so it is not a care gap. Read from CDC's own marking in the series name, and for HPV from the 27-45 year band CDC states in its guidance. No CDSi or ImmDS concept; ICE calls it CLINICAL_PATIENT_DISCRETION.