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 |
{
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet IMMZ.D5.DT.BCG.CI</b></p><a name=\"IMMZ.D5.DT.BCG.CI\"> </a><a name=\"hcIMMZ.D5.DT.BCG.CI\"> </a><p>This value set expansion contains 10 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.D5.DT.BCG.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tcip-22.52\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tcip-22.4652\">tcip-22.52</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>The client is pregnant</td><td>"Potential contraindications" = "Currently pregnant"</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.BCG.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tchhosar-51.60\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tchhosar-51.4660\">tchhosar-51.60</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>The client has history of severe allergic reactions</td><td>'"Potential contraindications" = "Severe allergic reactions"</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.BCG.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tchis-41.60\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tchis-41.4660\">tchis-41.60</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>The client has immunodeficiency syndromes</td><td>"Potential contraindications" = "Immunodeficiency syndromes"</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.BCG.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tcietit-52.72\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tcietit-52.4672\">tcietit-52.72</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>The client is exposed to immunosuppressive treatment</td><td>"Potential contraindications" = "Exposed to immunosuppressive treatment"</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.BCG.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-csailt1y-32.14\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-csailt1y-32.4614\">csailt1y-32.14</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>Client's age is less than 1 year</td><td>"Age" < 1 year</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.BCG.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-t-1.1\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-t-1.461\">t-1.1</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>T</td><td>h</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.BCG.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-csaimtoet1y-44.14\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-csaimtoet1y-44.4614\">csaimtoet1y-44.14</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>Client's age is more than or equal to 1 year</td><td>"Age" ≥ 1 year</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.BCG.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs-bcgrbvic-60.57\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Outputs.html#IMMZ.D5.DT.Outputs-bcgrbvic-60.4657\">bcgrbvic-60.57</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs</td><td>Bacille Calmette–Guérin (BCG) vaccination is contraindicated</td><td>'"Immunization recommendation status" = "Contraindicated"</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.BCG.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs-bvcbccjircacn-97.67\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Outputs.html#IMMZ.D5.DT.Outputs-bvcbccjircacn-97.4667\">bvcbccjircacn-97.67</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs</td><td>BCG vaccination could be contraindicated. Clinical judgement is required. Create a clinical note.</td><td>'"Immunization recommendation status" = "Further evaluation needed"</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.BCG.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs-bvic-34.57\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Outputs.html#IMMZ.D5.DT.Outputs-bvic-34.4657\">bvic-34.57</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs</td><td>BCG vaccination is contraindicated</td><td>'"Immunization recommendation status" = "Contraindicated"</td></tr></table></div>"
},
"url" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D5.DT.BCG.CI",
"version" : "0.2.0",
"name" : "IMMZ_D5_DT_BCG_contraindications",
"title" : "IMMZ.D5.DT.BCG.CI ValueSet for Decision Table",
"status" : "active",
"date" : "2025-08-08T19:12:11+00:00",
"publisher" : "WHO",
"contact" : [
{
"name" : "WHO",
"telecom" : [
{
"system" : "url",
"value" : "http://who.int"
}
]
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],
"description" : "ValueSet IMMZ.D5.DT.BCG.CI for IMMZ.D5.DT.BCG contraindications.\nBusiness rule: Check for contraindications before administering the vaccine(s) due\t\nTrigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications\nTable: Potential contraindications",
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"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs",
"concept" : [
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"code" : "tcip-22.52",
"display" : "The client is pregnant"
},
{
"code" : "tchhosar-51.60",
"display" : "The client has history of severe allergic reactions"
},
{
"code" : "tchis-41.60",
"display" : "The client has immunodeficiency syndromes"
},
{
"code" : "tcietit-52.72",
"display" : "The client is exposed to immunosuppressive treatment"
},
{
"code" : "csailt1y-32.14",
"display" : "Client's age is less than 1 year"
},
{
"code" : "t-1.1",
"display" : "T"
},
{
"code" : "csaimtoet1y-44.14",
"display" : "Client's age is more than or equal to 1 year"
}
]
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs",
"concept" : [
{
"code" : "bcgrbvic-60.57",
"display" : "Bacille Calmette–Guérin (BCG) vaccination is contraindicated"
},
{
"code" : "bvcbccjircacn-97.67",
"display" : "BCG vaccination could be contraindicated. Clinical judgement is required. Create a clinical note."
},
{
"code" : "bvic-34.57",
"display" : "BCG vaccination is contraindicated"
}
]
}
]
},
"expansion" : {
"timestamp" : "2025-07-31T19:47:21.304Z",
"contains" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs",
"code" : "tcip-22.52",
"display" : "The client is pregnant"
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{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs",
"code" : "tchhosar-51.60",
"display" : "The client has history of severe allergic reactions"
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{
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"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs",
"code" : "tcietit-52.72",
"display" : "The client is exposed to immunosuppressive treatment"
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{
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"code" : "t-1.1",
"display" : "T"
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{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs",
"code" : "csaimtoet1y-44.14",
"display" : "Client's age is more than or equal to 1 year"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs",
"code" : "bcgrbvic-60.57",
"display" : "Bacille Calmette–Guérin (BCG) vaccination is contraindicated"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs",
"code" : "bvcbccjircacn-97.67",
"display" : "BCG vaccination could be contraindicated. Clinical judgement is required. Create a clinical note."
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs",
"code" : "bvic-34.57",
"display" : "BCG vaccination is contraindicated"
}
]
}
}