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 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="IMMZ.D.DE161"/>
<text>
<status value="generated"/>
<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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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>
</text>
<url value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE161"/>
<version value="0.2.0"/>
<name value="IMMZ_D_DE161"/>
<title value="IMMZ.D.DE161 ValueSet for Potential contraindications"/>
<status value="active"/>
<date value="2025-08-08T19:12:11+00:00"/>
<publisher value="WHO"/>
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<description
value="ValueSet for Potential contraindications for IMMZ.D.DE161"/>
<compose>
<include>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<concept>
<code value="DE162"/>
<display value="Currently pregnant"/>
</concept>
<concept>
<code value="DE163"/>
<display value="Immunocompromised"/>
</concept>
<concept>
<code value="DE200"/>
<display value="Severely immunocompromised"/>
</concept>
<concept>
<code value="DE164"/>
<display value="Exposed to immunosuppressive treatment"/>
</concept>
<concept>
<code value="DE165"/>
<display value="Severely immunosuppressed"/>
</concept>
<concept>
<code value="DE187"/>
<display value="Immunodeficiency syndromes"/>
</concept>
<concept>
<code value="DE166"/>
<display value="History of anaphylactic reactions"/>
</concept>
<concept>
<code value="DE167"/>
<display value="Severe allergic reactions"/>
</concept>
<concept>
<code value="DE168"/>
<display value="Symptomatic HIV infection"/>
</concept>
<concept>
<code value="DE169"/>
<display value="Planning to get pregnant in the next month"/>
</concept>
<concept>
<code value="DE170"/>
<display value="Receiving blood products"/>
</concept>
<concept>
<code value="DE188"/>
<display value="Severe acute illness"/>
</concept>
<concept>
<code value="DE190"/>
<display value="TB disease"/>
</concept>
<concept>
<code value="DE191"/>
<display value="Breastfeeding"/>
</concept>
<concept>
<code value="DE192"/>
<display value="Spina bifida"/>
</concept>
<concept>
<code value="DE193"/>
<display value="Bladder exstrophy"/>
</concept>
<concept>
<code value="DE194"/>
<display value="Acute gastroenteritis"/>
</concept>
<concept>
<code value="DE195"/>
<display value="Moderate to severe fever"/>
</concept>
<concept>
<code value="DE196"/>
<display value="Prior history of intussusception"/>
</concept>
<concept>
<code value="DE197"/>
<display value="Altered immunocompetence"/>
</concept>
<concept>
<code value="DE198"/>
<display value="Hypersensitivity to vaccine components"/>
</concept>
<concept>
<code value="DE199"/>
<display value="Taking antibiotics"/>
</concept>
</include>
</compose>
<expansion>
<timestamp value="2025-06-25T16:39:07.092Z"/>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE162"/>
<display value="Currently pregnant"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE163"/>
<display value="Immunocompromised"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE200"/>
<display value="Severely immunocompromised"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE164"/>
<display value="Exposed to immunosuppressive treatment"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE165"/>
<display value="Severely immunosuppressed"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE187"/>
<display value="Immunodeficiency syndromes"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE166"/>
<display value="History of anaphylactic reactions"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE167"/>
<display value="Severe allergic reactions"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE168"/>
<display value="Symptomatic HIV infection"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE169"/>
<display value="Planning to get pregnant in the next month"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE170"/>
<display value="Receiving blood products"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE188"/>
<display value="Severe acute illness"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE190"/>
<display value="TB disease"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE191"/>
<display value="Breastfeeding"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE192"/>
<display value="Spina bifida"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE193"/>
<display value="Bladder exstrophy"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE194"/>
<display value="Acute gastroenteritis"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE195"/>
<display value="Moderate to severe fever"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE196"/>
<display value="Prior history of intussusception"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE197"/>
<display value="Altered immunocompetence"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE198"/>
<display value="Hypersensitivity to vaccine components"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE199"/>
<display value="Taking antibiotics"/>
</contains>
</expansion>
</ValueSet>