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.D5.DT.BCG.CI"/>
<text>
<status value="generated"/>
<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> <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> <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> <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> <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> <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> <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> <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> <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> <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> <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>
</text>
<url value="http://smart.who.int/immunizations/ValueSet/IMMZ.D5.DT.BCG.CI"/>
<version value="0.2.0"/>
<name value="IMMZ_D5_DT_BCG_contraindications"/>
<title value="IMMZ.D5.DT.BCG.CI ValueSet for Decision Table"/>
<status value="active"/>
<date value="2025-09-17T23:03:28+00:00"/>
<publisher value="WHO"/>
<contact>
<name value="WHO"/>
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<value value="http://who.int"/>
</telecom>
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<description
value="ValueSet IMMZ.D5.DT.BCG.CI for IMMZ.D5.DT.BCG contraindications.
Business rule: Check for contraindications before administering the vaccine(s) due
Trigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications
Table: Potential contraindications"/>
<compose>
<include>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"/>
<concept>
<code value="tcip-22.52"/>
<display value="The client is pregnant"/>
</concept>
<concept>
<code value="tchhosar-51.60"/>
<display value="The client has history of severe allergic reactions"/>
</concept>
<concept>
<code value="tchis-41.60"/>
<display value="The client has immunodeficiency syndromes"/>
</concept>
<concept>
<code value="tcietit-52.72"/>
<display
value="The client is exposed to immunosuppressive treatment"/>
</concept>
<concept>
<code value="csailt1y-32.14"/>
<display value="Client's age is less than 1 year"/>
</concept>
<concept>
<code value="t-1.1"/>
<display value="T"/>
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<concept>
<code value="csaimtoet1y-44.14"/>
<display value="Client's age is more than or equal to 1 year"/>
</concept>
</include>
<include>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs"/>
<concept>
<code value="bcgrbvic-60.57"/>
<display
value="Bacille Calmette–Guérin (BCG) vaccination is contraindicated"/>
</concept>
<concept>
<code value="bvcbccjircacn-97.67"/>
<display
value="BCG vaccination could be contraindicated. Clinical judgement is required. Create a clinical note."/>
</concept>
<concept>
<code value="bvic-34.57"/>
<display value="BCG vaccination is contraindicated"/>
</concept>
</include>
</compose>
<expansion>
<timestamp value="2025-07-31T19:47:21.304Z"/>
<contains>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"/>
<code value="tcip-22.52"/>
<display value="The client is pregnant"/>
</contains>
<contains>
<system
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<code value="tchhosar-51.60"/>
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<contains>
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<contains>
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<code value="tcietit-52.72"/>
<display value="The client is exposed to immunosuppressive treatment"/>
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<contains>
<system
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<code value="csailt1y-32.14"/>
<display value="Client's age is less than 1 year"/>
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<contains>
<system
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<code value="t-1.1"/>
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<display value="Client's age is more than or equal to 1 year"/>
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<contains>
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<code value="bcgrbvic-60.57"/>
<display
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<contains>
<system
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<code value="bvcbccjircacn-97.67"/>
<display
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</contains>
<contains>
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<code value="bvic-34.57"/>
<display value="BCG vaccination is contraindicated"/>
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