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 2026-07-07 |
@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.Observation> a fhir:ValueSet ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "IMMZ.D.Observation"] ;
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.Observation</b></p><a name=\"IMMZ.D.Observation\"> </a><a name=\"hcIMMZ.D.Observation\"> </a><p>This value set expansion contains 21 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.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE263\"> </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-DE263\">DE263</a></td><td>Birth dose</td><td>Indicates if the client received a dose within 24 hours of birth. Whether a birth dose is counted as part of the primary series will depend on the antigen</td></tr><tr><td><a name=\"IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE203\"> </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-DE203\">DE203</a></td><td>Completed the primary vaccination series</td><td>Indicates if the client has completed the primary vaccination series of a product/antigen. If the client has not yet completed their primary series, it means they may be expected to receive more doses to complete their vaccination regimen for the respective product/antigen</td></tr><tr><td><a name=\"IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE257\"> </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-DE257\">DE257</a></td><td>Completed the booster series</td><td>Indicates if the client has completed the booster series of a product/antigen</td></tr><tr><td><a name=\"IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE242\"> </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-DE242\">DE242</a></td><td>Date when primary vaccination series was completed</td><td>The date when the client completed the primary vaccination series (per product/antigen)</td></tr><tr><td><a name=\"IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE204\"> </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-DE204\">DE204</a></td><td>HIV status</td><td>The current HIV status of the client</td></tr><tr><td><a name=\"IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE208\"> </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-DE208\">DE208</a></td><td>Preterm birth</td><td>The infant was preterm; the mother gave birth to the infant when gestational age was less than 37 weeks</td></tr><tr><td><a name=\"IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE209\"> </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-DE209\">DE209</a></td><td>Immunocompromised</td><td>The client is known to be immunocompromised. This means the client has a weakened immune system and having a reduced ability to fight infections and other diseases</td></tr><tr><td><a name=\"IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE210\"> </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-DE210\">DE210</a></td><td>Currently on ART</td><td>The client is currently receiving antiretroviral therapy (ART)</td></tr><tr><td><a name=\"IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE243\"> </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-DE243\">DE243</a></td><td>Type of TB infection test performed</td><td>The type of tuberculosis (TB) infection test performed</td></tr><tr><td><a name=\"IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE246\"> </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-DE246\">DE246</a></td><td>TB infection test result</td><td>Records the result of the TB infection test</td></tr><tr><td><a name=\"IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE249\"> </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-DE249\">DE249</a></td><td>Immunologically stable</td><td>The client is living with HIV and is immunologically stable with CD4 count or percentage above a minimum as defined in the HIV guidelines</td></tr><tr><td><a name=\"IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE250\"> </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-DE250\">DE250</a></td><td>Clinically well</td><td>The client is living with HIV and is clinically well, as defined in HIV guidelines and WHO clinical staging</td></tr><tr><td><a name=\"IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE211\"> </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-DE211\">DE211</a></td><td>Birth weight in grams</td><td>Represents the client's birth weight value measures in grams</td></tr><tr><td><a name=\"IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE215\"> </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-DE215\">DE215</a></td><td>ART start date</td><td>The date on which the client started or restarted ART</td></tr><tr><td><a name=\"IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE251\"> </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-DE251\">DE251</a></td><td>High risk of pneumococcal infection</td><td>The client is at high risk for pneumococcal infection because of underlying medical conditions (i.e. HIV infection or sickle-cell disease)</td></tr><tr><td><a name=\"IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE236\"> </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-DE236\">DE236</a></td><td>Age in months when client received first meningococcal dose</td><td>The age in months when client received their first meningococcal dose</td></tr><tr><td><a name=\"IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE240\"> </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-DE240\">DE240</a></td><td>VNA level</td><td>Vaccine-induced neutralizing antibody (VNA) level, measured as a serum antibody concentration from the result of the concentrated, purified cell culture-derived and embryonated egg-based rabies vaccines (CCEEV)</td></tr><tr><td><a name=\"IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE253\"> </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-DE253\">DE253</a></td><td>Risk of occupational exposure to rabies virus</td><td>Professional at risk of occupational exposure to rabies virus, particularly animal health workers. Also considered for medical professionals who regularly provide care to persons with rabies</td></tr><tr><td><a name=\"IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE241\"> </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-DE241\">DE241</a></td><td>Dengue serostatus</td><td>Indicates the result of a serological test determining whether the client has antibodies against the dengue virus</td></tr><tr><td><a name=\"IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE201\"> </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-DE201\">DE201</a></td><td>Contact date</td><td>The date and time of the client's contact</td></tr><tr><td><a name=\"IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE202\"> </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-DE202\">DE202</a></td><td>ANC contact number</td><td>The antenatal care (ANC) contact or visit number</td></tr></table></div>"
] ;
fhir:ValueSet.url [ fhir:value "http://smart.who.int/immunizations/ValueSet/IMMZ.D.Observation"] ;
fhir:ValueSet.version [ fhir:value "0.2.0"] ;
fhir:ValueSet.name [ fhir:value "IMMZ_D_Observation"] ;
fhir:ValueSet.title [ fhir:value "IMMZ.D.Observation ValueSet for Sex"] ;
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"] ;
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fhir:ContactPoint.value [ fhir:value "http://who.int" ]
]
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fhir:ValueSet.description [ fhir:value "ValueSet for Observation codes for IMMZ.D"] ;
fhir:ValueSet.compose [
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fhir:ValueSet.compose.include.system [ fhir:value "http://smart.who.int/immunizations/CodeSystem/IMMZ.D" ] ;
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fhir:ValueSet.compose.include.concept.display [ fhir:value "Birth dose" ]
], [
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fhir:ValueSet.compose.include.concept.display [ fhir:value "Completed the primary vaccination series" ]
], [
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fhir:ValueSet.compose.include.concept.code [ fhir:value "DE209" ] ;
fhir:ValueSet.compose.include.concept.display [ fhir:value "Immunocompromised" ]
], [
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fhir:index 12 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "DE211" ] ;
fhir:ValueSet.compose.include.concept.display [ fhir:value "Birth weight in grams" ]
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fhir:index 14 ;
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fhir:ValueSet.compose.include.concept.display [ fhir:value "High risk of pneumococcal infection" ]
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fhir:index 15 ;
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fhir:ValueSet.compose.include.concept.display [ fhir:value "Age in months when client received first meningococcal dose" ]
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fhir:ValueSet.compose.include.concept.code [ fhir:value "DE240" ] ;
fhir:ValueSet.compose.include.concept.display [ fhir:value "VNA level" ]
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fhir:ValueSet.compose.include.concept.display [ fhir:value "Risk of occupational exposure to rabies virus" ]
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fhir:ValueSet.compose.include.concept.code [ fhir:value "DE241" ] ;
fhir:ValueSet.compose.include.concept.display [ fhir:value "Dengue serostatus" ]
], [
fhir:index 19 ;
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]
] .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/ValueSet/IMMZ.D.Observation.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/ValueSet/IMMZ.D.Observation.ttl> .
IG © 2023+ WHO. Package smart.who.int.immunizations#0.2.0 based on FHIR 4.0.1. Generated 2026-07-07
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