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

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

Active as of 2025-09-17

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="IMMZ.D.DE5"/>
  <text>
    <status value="generated"/>
    <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>
  </text>
  <url value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.DE5"/>
  <version value="0.2.0"/>
  <name value="IMMZ_D_DE5"/>
  <title value="IMMZ.D.DE5 ValueSet for Reason vaccine was not administered"/>
  <status value="active"/>
  <date value="2025-09-17T23:03:28+00:00"/>
  <publisher value="WHO"/>
  <contact>
    <name value="WHO"/>
    <telecom>
      <system value="url"/>
      <value value="http://who.int"/>
    </telecom>
  </contact>
  <description
               value="ValueSet for Reason vaccine was not administered for IMMZ.D.DE5"/>
  <compose>
    <include>
      <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
      <concept>
        <code value="DE6"/>
        <display value="Immunity"/>
      </concept>
      <concept>
        <code value="DE7"/>
        <display value="Medical precaution"/>
      </concept>
      <concept>
        <code value="DE8"/>
        <display value="Product out of stock"/>
      </concept>
      <concept>
        <code value="DE9"/>
        <display value="Client objection"/>
      </concept>
      <concept>
        <code value="DE10"/>
        <display value="Caregiver refusal"/>
      </concept>
      <concept>
        <code value="DE11"/>
        <display value="Unspecified reason"/>
      </concept>
      <concept>
        <code value="DE12"/>
        <display value="Client allergy to vaccine or component"/>
      </concept>
      <concept>
        <code value="DE13"/>
        <display value="Immunocompromised"/>
      </concept>
      <concept>
        <code value="DE14"/>
        <display value="Chronic illness or condition"/>
      </concept>
      <concept>
        <code value="DE15"/>
        <display value="Acute illness"/>
      </concept>
      <concept>
        <code value="DE16"/>
        <display value="Had the disease"/>
      </concept>
      <concept>
        <code value="DE17"/>
        <display value="Immunization not carried out for other reasons"/>
      </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="DE6"/>
      <display value="Immunity"/>
    </contains>
    <contains>
      <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
      <code value="DE7"/>
      <display value="Medical precaution"/>
    </contains>
    <contains>
      <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
      <code value="DE8"/>
      <display value="Product out of stock"/>
    </contains>
    <contains>
      <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
      <code value="DE9"/>
      <display value="Client objection"/>
    </contains>
    <contains>
      <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
      <code value="DE10"/>
      <display value="Caregiver refusal"/>
    </contains>
    <contains>
      <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
      <code value="DE11"/>
      <display value="Unspecified reason"/>
    </contains>
    <contains>
      <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
      <code value="DE12"/>
      <display value="Client allergy to vaccine or component"/>
    </contains>
    <contains>
      <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
      <code value="DE13"/>
      <display value="Immunocompromised"/>
    </contains>
    <contains>
      <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
      <code value="DE14"/>
      <display value="Chronic illness or condition"/>
    </contains>
    <contains>
      <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
      <code value="DE15"/>
      <display value="Acute illness"/>
    </contains>
    <contains>
      <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
      <code value="DE16"/>
      <display value="Had the disease"/>
    </contains>
    <contains>
      <system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
      <code value="DE17"/>
      <display value="Immunization not carried out for other reasons"/>
    </contains>
  </expansion>
</ValueSet>