WHO Immunization Implementation Guide
0.2.0 - ci-build
WHO Immunization Implementation Guide, published by WHO. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-immunizations/ and changes regularly. See the Directory of published versions
| Active as of 2025-08-08 |
{
"resourceType" : "ValueSet",
"id" : "IMMZ.D.DE161",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet IMMZ.D.DE161</b></p><a name=\"IMMZ.D.DE161\"> </a><a name=\"hcIMMZ.D.DE161\"> </a><p>This value set expansion contains 22 concepts.</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>System</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE161-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE162\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE162\">DE162</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Currently pregnant</td><td>The client is currently pregnant</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE161-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE163\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE163\">DE163</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Immunocompromised</td><td>The client is known to be immunocompromised</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE161-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE200\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE200\">DE200</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Severely immunocompromised</td><td>The client is known to be severely immunocompromised</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE161-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE164\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE164\">DE164</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Exposed to immunosuppressive treatment</td><td>The client is undergoing immunosuppressive treatment or was exposed to immunosuppressive treatment in utero or via breastfeeding.</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE161-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE165\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE165\">DE165</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Severely immunosuppressed</td><td>The client is known to be severely immunosuppressed</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE161-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE187\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE187\">DE187</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Immunodeficiency syndromes</td><td>The client has immunodeficiency syndromes (e.g. HIV/AIDS, known or suspected congenital immunodeficiency, leukaemia, lymphoma or other malignant disease)</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE161-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE166\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE166\">DE166</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>History of anaphylactic reactions</td><td>The client is known to have history of anaphylaxis in the past</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE161-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE167\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE167\">DE167</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Severe allergic reactions</td><td>The client is known to have severe allergic reaction</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE161-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE168\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE168\">DE168</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Symptomatic HIV infection</td><td>The client is experiencing HIV-related symptoms</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE161-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE169\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE169\">DE169</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Planning to get pregnant in the next month</td><td>The client's intention or desire is to become pregnant in the next month</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE161-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE170\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE170\">DE170</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Receiving blood products</td><td>The client is receiving blood or blood-related products as part of a medical treatment.</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE161-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE188\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE188\">DE188</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Severe acute illness</td><td>The client has a severe acute illness</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE161-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE190\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE190\">DE190</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>TB disease</td><td>The client has been diagnosed with tuberculosis (TB)</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE161-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE191\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE191\">DE191</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Breastfeeding</td><td>The client is currently breastfeeding</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE161-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE192\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE192\">DE192</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Spina bifida</td><td>The client has spina bifida</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE161-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE193\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE193\">DE193</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Bladder exstrophy</td><td>The client has exstrophy of urinary bladder</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE161-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE194\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE194\">DE194</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Acute gastroenteritis</td><td>The client has acute gastroenteritis</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE161-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE195\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE195\">DE195</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Moderate to severe fever</td><td>The client has moderate to severe fever</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE161-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE196\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE196\">DE196</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Prior history of intussusception</td><td>The client has prior history of intussusception</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE161-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE197\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE197\">DE197</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Altered immunocompetence</td><td>The client's immune system is not functioning at its typical capacity</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE161-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE198\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE198\">DE198</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Hypersensitivity to vaccine components</td><td>The client has heightened sensitivity or allergic reactions to specific components found in vaccines</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE161-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE199\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE199\">DE199</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Taking antibiotics</td><td>The client is currently taking antibiotics to treat certain infections</td></tr></table></div>"
},
"url" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE161",
"version" : "0.2.0",
"name" : "IMMZ_D_DE161",
"title" : "IMMZ.D.DE161 ValueSet for Potential contraindications",
"status" : "active",
"date" : "2025-08-08T19:12:11+00:00",
"publisher" : "WHO",
"contact" : [
{
"name" : "WHO",
"telecom" : [
{
"system" : "url",
"value" : "http://who.int"
}
]
}
],
"description" : "ValueSet for Potential contraindications for IMMZ.D.DE161",
"compose" : {
"include" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"concept" : [
{
"code" : "DE162",
"display" : "Currently pregnant"
},
{
"code" : "DE163",
"display" : "Immunocompromised"
},
{
"code" : "DE200",
"display" : "Severely immunocompromised"
},
{
"code" : "DE164",
"display" : "Exposed to immunosuppressive treatment"
},
{
"code" : "DE165",
"display" : "Severely immunosuppressed"
},
{
"code" : "DE187",
"display" : "Immunodeficiency syndromes"
},
{
"code" : "DE166",
"display" : "History of anaphylactic reactions"
},
{
"code" : "DE167",
"display" : "Severe allergic reactions"
},
{
"code" : "DE168",
"display" : "Symptomatic HIV infection"
},
{
"code" : "DE169",
"display" : "Planning to get pregnant in the next month"
},
{
"code" : "DE170",
"display" : "Receiving blood products"
},
{
"code" : "DE188",
"display" : "Severe acute illness"
},
{
"code" : "DE190",
"display" : "TB disease"
},
{
"code" : "DE191",
"display" : "Breastfeeding"
},
{
"code" : "DE192",
"display" : "Spina bifida"
},
{
"code" : "DE193",
"display" : "Bladder exstrophy"
},
{
"code" : "DE194",
"display" : "Acute gastroenteritis"
},
{
"code" : "DE195",
"display" : "Moderate to severe fever"
},
{
"code" : "DE196",
"display" : "Prior history of intussusception"
},
{
"code" : "DE197",
"display" : "Altered immunocompetence"
},
{
"code" : "DE198",
"display" : "Hypersensitivity to vaccine components"
},
{
"code" : "DE199",
"display" : "Taking antibiotics"
}
]
}
]
},
"expansion" : {
"timestamp" : "2025-06-25T16:39:07.092Z",
"contains" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE162",
"display" : "Currently pregnant"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE163",
"display" : "Immunocompromised"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE200",
"display" : "Severely immunocompromised"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE164",
"display" : "Exposed to immunosuppressive treatment"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE165",
"display" : "Severely immunosuppressed"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE187",
"display" : "Immunodeficiency syndromes"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE166",
"display" : "History of anaphylactic reactions"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE167",
"display" : "Severe allergic reactions"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE168",
"display" : "Symptomatic HIV infection"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE169",
"display" : "Planning to get pregnant in the next month"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE170",
"display" : "Receiving blood products"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE188",
"display" : "Severe acute illness"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE190",
"display" : "TB disease"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE191",
"display" : "Breastfeeding"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE192",
"display" : "Spina bifida"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE193",
"display" : "Bladder exstrophy"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE194",
"display" : "Acute gastroenteritis"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE195",
"display" : "Moderate to severe fever"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE196",
"display" : "Prior history of intussusception"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE197",
"display" : "Altered immunocompetence"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE198",
"display" : "Hypersensitivity to vaccine components"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE199",
"display" : "Taking antibiotics"
}
]
}
}