This class is a record of an assertion by the patient, the patient guardian, or someone else in authority that the medication should not be administered. Examples include a parent refusing an immunization for their child based on religious beliefs.

Attributes
«TS» PointInTime	dateAsserted	The date that the assertion was made.
«IVL_TS» Period	effectiveTime	The date range during which the exemption is valid. Note that the start date may differ from the date asserted, although they typically will be the same.
«II» Id	identifier	Uniquely identifies the Exemption.
PractitionerParticipation	issuedBy	Indicates the practitioner who issued the exemption.
«CS» Code	reason	Indicates the basis for the Exemption. "Contains the reason the patient refused the medical substance/treatment. Any entry in the field indicates that the patient did not take the substance." - HL7 Version 2.8, RXA-18
String	remarks	Any comments concerning the Exemption.

 dateAsserted

Public «TS» PointInTime dateAsserted

The date that the assertion was made.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	Exemption
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	dateAsserted
Name Expression
Namespace	Exemption
Opposite
Owner	Exemption
Owning Association
Owning Template Parameter
Qualified Name	FHIM::MedicationAdministration::Exemption::dateAsserted
Stereotype
Template Parameter
Type	«TS» PointInTime
Upper	1
Upper Value	(1)
Visibility	Public

 effectiveTime

Public «IVL_TS» Period effectiveTime

The date range during which the exemption is valid. Note that the start date may differ from the date asserted, although they typically will be the same.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	Exemption
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	effectiveTime
Name Expression
Namespace	Exemption
Opposite
Owner	Exemption
Owning Association
Owning Template Parameter
Qualified Name	FHIM::MedicationAdministration::Exemption::effectiveTime
Stereotype
Template Parameter
Type	«IVL_TS» Period
Upper	1
Upper Value	(1)
Visibility	Public

 identifier

Public «II» Id identifier

Uniquely identifies the Exemption.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	Exemption
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	identifier
Name Expression
Namespace	Exemption
Opposite
Owner	Exemption
Owning Association
Owning Template Parameter
Qualified Name	FHIM::MedicationAdministration::Exemption::identifier
Stereotype
Template Parameter
Type	«II» Id
Upper	1
Upper Value	(1)
Visibility	Public

 issuedBy

Public PractitionerParticipation issuedBy

Indicates the practitioner who issued the exemption.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	Exemption
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	issuedBy
Name Expression
Namespace	Exemption
Opposite
Owner	Exemption
Owning Association
Owning Template Parameter
Qualified Name	FHIM::MedicationAdministration::Exemption::issuedBy
Stereotype
Template Parameter
Type	PractitionerParticipation
Upper	1
Upper Value	(1)
Visibility	Public

 reason

Public «CS» Code reason

Indicates the basis for the Exemption.
"Contains the reason the patient refused the medical substance/treatment. Any entry in the field indicates that the patient did not take the substance." - HL7 Version 2.8, RXA-18

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	Exemption
Terminologies	[ HL7_V2 Substance Refusal Reason (IIS) 2.16.840.1.114222.4.11.3380 , HL7_FHIR_R4 ImmunizationStatusReasonCodes http://hl7.org/fhir/ValueSet/immunization-status-reason ]
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	reason
Name Expression
Namespace	Exemption
Opposite
Owner	Exemption
Owning Association
Owning Template Parameter
Qualified Name	FHIM::MedicationAdministration::Exemption::reason
Stereotype	ValueSetConstraints
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

 remarks

Public String remarks

Any comments concerning the Exemption.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	Exemption
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	*
Name	remarks
Name Expression
Namespace	Exemption
Opposite
Owner	Exemption
Owning Association
Owning Template Parameter
Qualified Name	FHIM::MedicationAdministration::Exemption::remarks
Stereotype
Template Parameter
Type	String
Upper	*
Upper Value	(*)
Visibility	Public