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

: IMMZ.D.DE5 ValueSet for Reason vaccine was not administered - TTL Representation

Active as of 2026-07-07

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/ValueSet/IMMZ.D.DE5> a fhir:ValueSet ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "IMMZ.D.DE5"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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><b>System</b></td><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a name=\"IMMZ.D.DE5-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE6\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE6\">DE6</a></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><a name=\"IMMZ.D.DE5-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE7\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE7\">DE7</a></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><a name=\"IMMZ.D.DE5-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE8\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE8\">DE8</a></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><a name=\"IMMZ.D.DE5-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE9\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE9\">DE9</a></td><td>Client objection</td><td>The client or their guardian objects to receiving the vaccine</td></tr><tr><td><a name=\"IMMZ.D.DE5-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE10\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE10\">DE10</a></td><td>Caregiver refusal</td><td>The client's caregiver refused the vaccine</td></tr><tr><td><a name=\"IMMZ.D.DE5-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE11\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE11\">DE11</a></td><td>Unspecified reason</td><td>The immunization event was not carried out for an unspecified reason</td></tr><tr><td><a name=\"IMMZ.D.DE5-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE12\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE12\">DE12</a></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><a name=\"IMMZ.D.DE5-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE13\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE13\">DE13</a></td><td>Immunocompromised</td><td>The immunization event was not carried out because the client is immunocompromised</td></tr><tr><td><a name=\"IMMZ.D.DE5-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE14\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE14\">DE14</a></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><a name=\"IMMZ.D.DE5-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE15\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE15\">DE15</a></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><a name=\"IMMZ.D.DE5-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE16\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE16\">DE16</a></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><a name=\"IMMZ.D.DE5-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE17\"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</code></td><td style=\"white-space:nowrap\">  <a href=\"CodeSystem-IMMZ.D.html#IMMZ.D-DE17\">DE17</a></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>"
  ] ;
  fhir:ValueSet.url [ fhir:value "http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE5"] ;
  fhir:ValueSet.version [ fhir:value "0.2.0"] ;
  fhir:ValueSet.name [ fhir:value "IMMZ_D_DE5"] ;
  fhir:ValueSet.title [ fhir:value "IMMZ.D.DE5 ValueSet for Reason vaccine was not administered"] ;
  fhir:ValueSet.status [ fhir:value "active"] ;
  fhir:ValueSet.date [ fhir:value "2026-07-07T22:09:13+00:00"^^xsd:dateTime] ;
  fhir:ValueSet.publisher [ fhir:value "WHO"] ;
  fhir:ValueSet.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "WHO" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "http://who.int" ]
     ]
  ] ;
  fhir:ValueSet.description [ fhir:value "ValueSet for Reason vaccine was not administered for IMMZ.D.DE5"] ;
  fhir:ValueSet.compose [
     fhir:ValueSet.compose.include [
       fhir:index 0 ;
       fhir:ValueSet.compose.include.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ;
       fhir:ValueSet.compose.include.concept [
         fhir:index 0 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "DE6" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Immunity" ]
       ], [
         fhir:index 1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "DE7" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Medical precaution" ]
       ], [
         fhir:index 2 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "DE8" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Product out of stock" ]
       ], [
         fhir:index 3 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "DE9" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Client objection" ]
       ], [
         fhir:index 4 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "DE10" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Caregiver refusal" ]
       ], [
         fhir:index 5 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "DE11" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Unspecified reason" ]
       ], [
         fhir:index 6 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "DE12" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Client allergy to vaccine or component" ]
       ], [
         fhir:index 7 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "DE13" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Immunocompromised" ]
       ], [
         fhir:index 8 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "DE14" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Chronic illness or condition" ]
       ], [
         fhir:index 9 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "DE15" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Acute illness" ]
       ], [
         fhir:index 10 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "DE16" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Had the disease" ]
       ], [
         fhir:index 11 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "DE17" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Immunization not carried out for other reasons" ]
       ]
     ]
  ] ;
  fhir:ValueSet.expansion [
     fhir:ValueSet.expansion.timestamp [ fhir:value "2025-06-25T16:39:07.092Z"^^xsd:dateTime ] ;
     fhir:ValueSet.expansion.contains [
       fhir:index 0 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "DE6" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "Immunity" ]
     ], [
       fhir:index 1 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "DE7" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "Medical precaution" ]
     ], [
       fhir:index 2 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "DE8" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "Product out of stock" ]
     ], [
       fhir:index 3 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "DE9" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "Client objection" ]
     ], [
       fhir:index 4 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "DE10" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "Caregiver refusal" ]
     ], [
       fhir:index 5 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "DE11" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "Unspecified reason" ]
     ], [
       fhir:index 6 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "DE12" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "Client allergy to vaccine or component" ]
     ], [
       fhir:index 7 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "DE13" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "Immunocompromised" ]
     ], [
       fhir:index 8 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "DE14" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "Chronic illness or condition" ]
     ], [
       fhir:index 9 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "DE15" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "Acute illness" ]
     ], [
       fhir:index 10 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "DE16" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "Had the disease" ]
     ], [
       fhir:index 11 ;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ;
       fhir:ValueSet.expansion.contains.code [ fhir:value "DE17" ] ;
       fhir:ValueSet.expansion.contains.display [ fhir:value "Immunization not carried out for other reasons" ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/ValueSet/IMMZ.D.DE5.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/ValueSet/IMMZ.D.DE5.ttl> .