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 |
{
"resourceType" : "ValueSet",
"id" : "IMMZ.D5.DT.Dengue.CI",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet IMMZ.D5.DT.Dengue.CI</b></p><a name=\"IMMZ.D5.DT.Dengue.CI\"> </a><a name=\"hcIMMZ.D5.DT.Dengue.CI\"> </a><p>This value set expansion contains 11 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.Dengue.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tchhosar-51.63\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tchhosar-51.4663\">tchhosar-51.63</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.Dengue.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tcicp-32.56\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tcicp-32.4656\">tcicp-32.56</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>The client is currently pregnant</td><td>"Potential contraindications" = "Currently pregnant"</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.Dengue.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tcisi-40.64\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tcisi-40.4664\">tcisi-40.64</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>The client is severely immunocompromised</td><td>"Potential contraindications" = "Severely immunocompromised"</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.Dengue.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tcii-31.55\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tcii-31.4655\">tcii-31.55</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>The client is immunocompromised</td><td>"Potential contraindications" = "Immunocompromised"</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.Dengue.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tcicl-33.52\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tcicl-33.4652\">tcicl-33.52</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>The client is currently lactating</td><td>'"Potential contraindications" = "Breastfeeding"</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.Dengue.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tchhoar-48.70\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tchhoar-48.4670\">tchhoar-48.70</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>The client has history of anaphylactic reactions</td><td>"Potential contraindications" ="History of anaphylactic reactions"</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.Dengue.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tchis-41.64\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tchis-41.4664\">tchis-41.64</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.Dengue.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tcisi-39.63\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tcisi-39.4663\">tcisi-39.63</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>The client is severely immunosuppressed</td><td>"Potential contraindications" = "Severely immunosuppressed"</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.Dengue.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tchshi-40.63\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tchshi-40.4663\">tchshi-40.63</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>The client has symptomatic HIV infection</td><td>"Potential contraindications" = "Symptomatic HIV infection"</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.Dengue.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs-dvic-37.60\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Outputs.html#IMMZ.D5.DT.Outputs-dvic-37.4660\">dvic-37.60</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs</td><td>Dengue vaccination is contraindicated</td><td>"Immunization recommendation status" = "Contraindicated"</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"IMMZ.D5.DT.Dengue.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs-dvcbccjircacn-100.70\"> </a>\u00a0\u00a0<a href=\"CodeSystem-IMMZ.D5.DT.Outputs.html#IMMZ.D5.DT.Outputs-dvcbccjircacn-100.4670\">dvcbccjircacn-100.70</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs</td><td>Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note.</td><td>"Immunization recommendation status" = "Further evaluation needed"</td></tr></table></div>"
},
"url" : "http://smart.who.int/immunizations/ValueSet/IMMZ.D5.DT.Dengue.CI",
"version" : "0.2.0",
"name" : "IMMZ_D5_DT_Dengue_contraindications",
"title" : "IMMZ.D5.DT.Dengue.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"
}
]
}
],
"description" : "ValueSet IMMZ.D5.DT.Dengue.CI for IMMZ.D5.DT.Dengue 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",
"compose" : {
"include" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs",
"concept" : [
{
"code" : "tchhosar-51.63",
"display" : "The client has history of severe allergic reactions"
},
{
"code" : "tcicp-32.56",
"display" : "The client is currently pregnant"
},
{
"code" : "tcisi-40.64",
"display" : "The client is severely immunocompromised"
},
{
"code" : "tcii-31.55",
"display" : "The client is immunocompromised"
},
{
"code" : "tcicl-33.52",
"display" : "The client is currently lactating"
},
{
"code" : "tchhoar-48.70",
"display" : "The client has history of anaphylactic reactions"
},
{
"code" : "tchis-41.64",
"display" : "The client has immunodeficiency syndromes"
},
{
"code" : "tcisi-39.63",
"display" : "The client is severely immunosuppressed"
},
{
"code" : "tchshi-40.63",
"display" : "The client has symptomatic HIV infection"
}
]
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs",
"concept" : [
{
"code" : "dvic-37.60",
"display" : "Dengue vaccination is contraindicated"
},
{
"code" : "dvcbccjircacn-100.70",
"display" : "Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note."
}
]
}
]
},
"expansion" : {
"timestamp" : "2025-06-25T16:39:07.092Z",
"contains" : [
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs",
"code" : "tchhosar-51.63",
"display" : "The client has history of severe allergic reactions"
},
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"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs",
"code" : "tcicp-32.56",
"display" : "The client is currently pregnant"
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{
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"display" : "The client is severely immunocompromised"
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{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs",
"code" : "tcii-31.55",
"display" : "The client is immunocompromised"
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"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs",
"code" : "tcicl-33.52",
"display" : "The client is currently lactating"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs",
"code" : "tchhoar-48.70",
"display" : "The client has history of anaphylactic reactions"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs",
"code" : "tchis-41.64",
"display" : "The client has immunodeficiency syndromes"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs",
"code" : "tcisi-39.63",
"display" : "The client is severely immunosuppressed"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs",
"code" : "tchshi-40.63",
"display" : "The client has symptomatic HIV infection"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs",
"code" : "dvic-37.60",
"display" : "Dengue vaccination is contraindicated"
},
{
"system" : "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs",
"code" : "dvcbccjircacn-100.70",
"display" : "Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note."
}
]
}
}