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 2025-09-17 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="IMMZ.D.Observation"/>
<text>
<status value="generated"/>
<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 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.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE263"> </a> <a href="CodeSystem-IMMZ.D.html#IMMZ.D-DE263">DE263</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</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 style="white-space:nowrap"><a name="IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE203"> </a> <a href="CodeSystem-IMMZ.D.html#IMMZ.D-DE203">DE203</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</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 style="white-space:nowrap"><a name="IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE257"> </a> <a href="CodeSystem-IMMZ.D.html#IMMZ.D-DE257">DE257</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</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 style="white-space:nowrap"><a name="IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE242"> </a> <a href="CodeSystem-IMMZ.D.html#IMMZ.D-DE242">DE242</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</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 style="white-space:nowrap"><a name="IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE204"> </a> <a href="CodeSystem-IMMZ.D.html#IMMZ.D-DE204">DE204</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>HIV status</td><td>The current HIV status of the client</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE208"> </a> <a href="CodeSystem-IMMZ.D.html#IMMZ.D-DE208">DE208</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</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 style="white-space:nowrap"><a name="IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE209"> </a> <a href="CodeSystem-IMMZ.D.html#IMMZ.D-DE209">DE209</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</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 style="white-space:nowrap"><a name="IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE210"> </a> <a href="CodeSystem-IMMZ.D.html#IMMZ.D-DE210">DE210</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Currently on ART</td><td>The client is currently receiving antiretroviral therapy (ART)</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE243"> </a> <a href="CodeSystem-IMMZ.D.html#IMMZ.D-DE243">DE243</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Type of TB infection test performed</td><td>The type of tuberculosis (TB) infection test performed</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE246"> </a> <a href="CodeSystem-IMMZ.D.html#IMMZ.D-DE246">DE246</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>TB infection test result</td><td>Records the result of the TB infection test</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE249"> </a> <a href="CodeSystem-IMMZ.D.html#IMMZ.D-DE249">DE249</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</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 style="white-space:nowrap"><a name="IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE250"> </a> <a href="CodeSystem-IMMZ.D.html#IMMZ.D-DE250">DE250</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</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 style="white-space:nowrap"><a name="IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE211"> </a> <a href="CodeSystem-IMMZ.D.html#IMMZ.D-DE211">DE211</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Birth weight in grams</td><td>Represents the client's birth weight value measures in grams</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE215"> </a> <a href="CodeSystem-IMMZ.D.html#IMMZ.D-DE215">DE215</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>ART start date</td><td>The date on which the client started or restarted ART</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE251"> </a> <a href="CodeSystem-IMMZ.D.html#IMMZ.D-DE251">DE251</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</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 style="white-space:nowrap"><a name="IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE236"> </a> <a href="CodeSystem-IMMZ.D.html#IMMZ.D-DE236">DE236</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</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 style="white-space:nowrap"><a name="IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE240"> </a> <a href="CodeSystem-IMMZ.D.html#IMMZ.D-DE240">DE240</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</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 style="white-space:nowrap"><a name="IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE253"> </a> <a href="CodeSystem-IMMZ.D.html#IMMZ.D-DE253">DE253</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</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 style="white-space:nowrap"><a name="IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE241"> </a> <a href="CodeSystem-IMMZ.D.html#IMMZ.D-DE241">DE241</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</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 style="white-space:nowrap"><a name="IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE201"> </a> <a href="CodeSystem-IMMZ.D.html#IMMZ.D-DE201">DE201</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>Contact date</td><td>The date and time of the client's contact</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D.Observation-http://smart.who.int/immunizations/CodeSystem/IMMZ.D-DE202"> </a> <a href="CodeSystem-IMMZ.D.html#IMMZ.D-DE202">DE202</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D</td><td>ANC contact number</td><td>The antenatal care (ANC) contact or visit number</td></tr></table></div>
</text>
<url
value="http://smart.who.int/immunizations/ValueSet/IMMZ.D.Observation"/>
<version value="0.2.0"/>
<name value="IMMZ_D_Observation"/>
<title value="IMMZ.D.Observation ValueSet for Sex"/>
<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 Observation codes for IMMZ.D"/>
<compose>
<include>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<concept>
<code value="DE263"/>
<display value="Birth dose"/>
</concept>
<concept>
<code value="DE203"/>
<display value="Completed the primary vaccination series"/>
</concept>
<concept>
<code value="DE257"/>
<display value="Completed the booster series"/>
</concept>
<concept>
<code value="DE242"/>
<display value="Date when primary vaccination series was completed"/>
</concept>
<concept>
<code value="DE204"/>
<display value="HIV status"/>
</concept>
<concept>
<code value="DE208"/>
<display value="Preterm birth"/>
</concept>
<concept>
<code value="DE209"/>
<display value="Immunocompromised"/>
</concept>
<concept>
<code value="DE210"/>
<display value="Currently on ART"/>
</concept>
<concept>
<code value="DE243"/>
<display value="Type of TB infection test performed"/>
</concept>
<concept>
<code value="DE246"/>
<display value="TB infection test result"/>
</concept>
<concept>
<code value="DE249"/>
<display value="Immunologically stable"/>
</concept>
<concept>
<code value="DE250"/>
<display value="Clinically well"/>
</concept>
<concept>
<code value="DE211"/>
<display value="Birth weight in grams"/>
</concept>
<concept>
<code value="DE215"/>
<display value="ART start date"/>
</concept>
<concept>
<code value="DE251"/>
<display value="High risk of pneumococcal infection"/>
</concept>
<concept>
<code value="DE236"/>
<display
value="Age in months when client received first meningococcal dose"/>
</concept>
<concept>
<code value="DE240"/>
<display value="VNA level"/>
</concept>
<concept>
<code value="DE253"/>
<display value="Risk of occupational exposure to rabies virus"/>
</concept>
<concept>
<code value="DE241"/>
<display value="Dengue serostatus"/>
</concept>
<concept>
<code value="DE201"/>
<display value="Contact date"/>
</concept>
<concept>
<code value="DE202"/>
<display value="ANC contact number"/>
</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="DE263"/>
<display value="Birth dose"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE203"/>
<display value="Completed the primary vaccination series"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE257"/>
<display value="Completed the booster series"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE242"/>
<display value="Date when primary vaccination series was completed"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE204"/>
<display value="HIV status"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE208"/>
<display value="Preterm birth"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE209"/>
<display value="Immunocompromised"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE210"/>
<display value="Currently on ART"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE243"/>
<display value="Type of TB infection test performed"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE246"/>
<display value="TB infection test result"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE249"/>
<display value="Immunologically stable"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE250"/>
<display value="Clinically well"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE211"/>
<display value="Birth weight in grams"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE215"/>
<display value="ART start date"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE251"/>
<display value="High risk of pneumococcal infection"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE236"/>
<display
value="Age in months when client received first meningococcal dose"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE240"/>
<display value="VNA level"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE253"/>
<display value="Risk of occupational exposure to rabies virus"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE241"/>
<display value="Dengue serostatus"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE201"/>
<display value="Contact date"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D"/>
<code value="DE202"/>
<display value="ANC contact number"/>
</contains>
</expansion>
</ValueSet>