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.DE5",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet IMMZ.D.DE5</b></p><a name=\"IMMZ.D.DE5\"> </a><a name=\"hcIMMZ.D.DE5\"> </a><p>This value set expansion contains 12 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.DE5-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE6\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE6\">DE6</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Immunity</td><td>Testing has shown that the client already has immunity to the agent targeted by the immunization</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE5-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE7\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE7\">DE7</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Medical precaution</td><td>The client currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE5-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE8\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE8\">DE8</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Product out of stock</td><td>There was no supply of the product on hand to perform the service</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE5-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE9\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE9\">DE9</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Client objection</td><td>The client or their guardian objects to receiving the vaccine</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE5-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE10\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE10\">DE10</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Caregiver refusal</td><td>The client's caregiver refused the vaccine</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE5-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE11\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE11\">DE11</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Unspecified reason</td><td>The immunization event was not carried out for an unspecified reason</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE5-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE12\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE12\">DE12</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Client allergy to vaccine or component</td><td>The immunization event was not carried out because of client allergy to vaccine or component</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE5-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE13\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE13\">DE13</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Immunocompromised</td><td>The immunization event was not carried out because the client is immunocompromised</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE5-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE14\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE14\">DE14</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Chronic illness or condition</td><td>The immunization event was not carried out due a chronic illness or condition of the client</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE5-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE15\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE15\">DE15</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Acute illness</td><td>The immunization event was not carried out due to an acute illness present in the client</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE5-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE16\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE16\">DE16</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Had the disease</td><td>The immunization event was not carried out due to the client having had the disease</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D.DE5-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE17\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE17\">DE17</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Immunization not carried out for other reasons</td><td>The immunization event was not carried out for other reasons</td></tr></table></div>"
},
"url" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE5",
"version" : "0.2.0",
"name" : "IMMZ_D_DE5",
"title" : "IMMZ.D.DE5 ValueSet for Reason vaccine was not administered",
"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 Reason vaccine was not administered for IMMZ.D.DE5",
"compose" : {
"include" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"concept" : [
{
"code" : "DE6",
"display" : "Immunity"
},
{
"code" : "DE7",
"display" : "Medical precaution"
},
{
"code" : "DE8",
"display" : "Product out of stock"
},
{
"code" : "DE9",
"display" : "Client objection"
},
{
"code" : "DE10",
"display" : "Caregiver refusal"
},
{
"code" : "DE11",
"display" : "Unspecified reason"
},
{
"code" : "DE12",
"display" : "Client allergy to vaccine or component"
},
{
"code" : "DE13",
"display" : "Immunocompromised"
},
{
"code" : "DE14",
"display" : "Chronic illness or condition"
},
{
"code" : "DE15",
"display" : "Acute illness"
},
{
"code" : "DE16",
"display" : "Had the disease"
},
{
"code" : "DE17",
"display" : "Immunization not carried out for other reasons"
}
]
}
]
},
"expansion" : {
"timestamp" : "2025-06-25T16:39:07.092Z",
"contains" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE6",
"display" : "Immunity"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE7",
"display" : "Medical precaution"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE8",
"display" : "Product out of stock"
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{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE9",
"display" : "Client objection"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE10",
"display" : "Caregiver refusal"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE11",
"display" : "Unspecified reason"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE12",
"display" : "Client allergy to vaccine or component"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE13",
"display" : "Immunocompromised"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE14",
"display" : "Chronic illness or condition"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE15",
"display" : "Acute illness"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE16",
"display" : "Had the disease"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
"code" : "DE17",
"display" : "Immunization not carried out for other reasons"
}
]
}
}