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

: IMMZ.D5.DT.BCG.CI ValueSet for Decision Table - XML Representation

Active as of 2025-08-08

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<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>&quot;Potential contraindications&quot; = &quot;Currently pregnant&quot;</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>'&quot;Potential contraindications&quot; = &quot;Severe allergic reactions&quot;</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>&quot;Potential contraindications&quot; = &quot;Immunodeficiency syndromes&quot;</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>&quot;Potential contraindications&quot; = &quot;Exposed to immunosuppressive treatment&quot;</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>&quot;Age&quot; &lt; 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>&quot;Age&quot; ≥ 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>'&quot;Immunization recommendation status&quot; = &quot;Contraindicated&quot;</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>'&quot;Immunization recommendation status&quot; = &quot;Further evaluation needed&quot;</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>'&quot;Immunization recommendation status&quot; = &quot;Contraindicated&quot;</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="2025-08-08T19:12:11+00:00"/>
  <publisher value="WHO"/>
  <contact>
    <name value="WHO"/>
    <telecom>
      <system value="url"/>
      <value value="http://who.int"/>
    </telecom>
  </contact>
  <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"/>
      </concept>
      <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
              value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"/>
      <code value="tchhosar-51.60"/>
      <display value="The client has history of severe allergic reactions"/>
    </contains>
    <contains>
      <system
              value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"/>
      <code value="tchis-41.60"/>
      <display value="The client has immunodeficiency syndromes"/>
    </contains>
    <contains>
      <system
              value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"/>
      <code value="tcietit-52.72"/>
      <display value="The client is exposed to immunosuppressive treatment"/>
    </contains>
    <contains>
      <system
              value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"/>
      <code value="csailt1y-32.14"/>
      <display value="Client's age is less than 1 year"/>
    </contains>
    <contains>
      <system
              value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"/>
      <code value="t-1.1"/>
      <display value="T"/>
    </contains>
    <contains>
      <system
              value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"/>
      <code value="csaimtoet1y-44.14"/>
      <display value="Client's age is more than or equal to 1 year"/>
    </contains>
    <contains>
      <system
              value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs"/>
      <code value="bcgrbvic-60.57"/>
      <display
               value="Bacille Calmette–Guérin (BCG) vaccination is contraindicated"/>
    </contains>
    <contains>
      <system
              value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs"/>
      <code value="bvcbccjircacn-97.67"/>
      <display
               value="BCG vaccination could be contraindicated. Clinical judgement is required. Create a clinical note."/>
    </contains>
    <contains>
      <system
              value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs"/>
      <code value="bvic-34.57"/>
      <display value="BCG vaccination is contraindicated"/>
    </contains>
  </expansion>
</ValueSet>