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.Dengue.CI ValueSet for Decision Table - TTL Representation

Active as of 2025-08-08

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:ValueSet ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "IMMZ.D5.DT.Dengue.CI"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>"^^rdf:XMLLiteral
  ] ; # 
  fhir:url [ fhir:v "http://smart.who.int/immunizations/ValueSet/IMMZ.D5.DT.Dengue.CI"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "0.2.0"] ; # 
  fhir:name [ fhir:v "IMMZ_D5_DT_Dengue_contraindications"] ; # 
  fhir:title [ fhir:v "IMMZ.D5.DT.Dengue.CI ValueSet for Decision Table"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:date [ fhir:v "2025-08-08T19:12:11+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "WHO"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "WHO" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://who.int" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "ValueSet IMMZ.D5.DT.Dengue.CI for IMMZ.D5.DT.Dengue contraindications.\nBusiness rule: Check for contraindications before administering the vaccine(s) due	\nTrigger: IMMZ.D5 Determine vaccine(s) to be administered based on contraindications\nTable: Potential contraindications"] ; # 
  fhir:compose [
    ( fhir:include [
fhir:system [ fhir:v "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"^^xsd:anyURI ] ;
      ( fhir:concept [
fhir:code [ fhir:v "tchhosar-51.63" ] ;
fhir:display [ fhir:v "The client has history of severe allergic reactions" ]       ] [
fhir:code [ fhir:v "tcicp-32.56" ] ;
fhir:display [ fhir:v "The client is currently pregnant" ]       ] [
fhir:code [ fhir:v "tcisi-40.64" ] ;
fhir:display [ fhir:v "The client is severely immunocompromised" ]       ] [
fhir:code [ fhir:v "tcii-31.55" ] ;
fhir:display [ fhir:v "The client is immunocompromised" ]       ] [
fhir:code [ fhir:v "tcicl-33.52" ] ;
fhir:display [ fhir:v "The client is currently lactating" ]       ] [
fhir:code [ fhir:v "tchhoar-48.70" ] ;
fhir:display [ fhir:v "The client has history of anaphylactic reactions" ]       ] [
fhir:code [ fhir:v "tchis-41.64" ] ;
fhir:display [ fhir:v "The client has immunodeficiency syndromes" ]       ] [
fhir:code [ fhir:v "tcisi-39.63" ] ;
fhir:display [ fhir:v "The client is severely immunosuppressed" ]       ] [
fhir:code [ fhir:v "tchshi-40.63" ] ;
fhir:display [ fhir:v "The client has symptomatic HIV infection" ]       ] )     ] [
fhir:system [ fhir:v "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs"^^xsd:anyURI ] ;
      ( fhir:concept [
fhir:code [ fhir:v "dvic-37.60" ] ;
fhir:display [ fhir:v "Dengue vaccination is contraindicated" ]       ] [
fhir:code [ fhir:v "dvcbccjircacn-100.70" ] ;
fhir:display [ fhir:v "Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note." ]       ] )     ] )
  ] ; # 
  fhir:expansion [
fhir:timestamp [ fhir:v "2025-06-25T16:39:07.092Z"^^xsd:dateTime ] ;
    ( fhir:contains [
fhir:system [ fhir:v "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "tchhosar-51.63" ] ;
fhir:display [ fhir:v "The client has history of severe allergic reactions" ]     ] [
fhir:system [ fhir:v "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "tcicp-32.56" ] ;
fhir:display [ fhir:v "The client is currently pregnant" ]     ] [
fhir:system [ fhir:v "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "tcisi-40.64" ] ;
fhir:display [ fhir:v "The client is severely immunocompromised" ]     ] [
fhir:system [ fhir:v "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "tcii-31.55" ] ;
fhir:display [ fhir:v "The client is immunocompromised" ]     ] [
fhir:system [ fhir:v "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "tcicl-33.52" ] ;
fhir:display [ fhir:v "The client is currently lactating" ]     ] [
fhir:system [ fhir:v "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "tchhoar-48.70" ] ;
fhir:display [ fhir:v "The client has history of anaphylactic reactions" ]     ] [
fhir:system [ fhir:v "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "tchis-41.64" ] ;
fhir:display [ fhir:v "The client has immunodeficiency syndromes" ]     ] [
fhir:system [ fhir:v "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "tcisi-39.63" ] ;
fhir:display [ fhir:v "The client is severely immunosuppressed" ]     ] [
fhir:system [ fhir:v "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "tchshi-40.63" ] ;
fhir:display [ fhir:v "The client has symptomatic HIV infection" ]     ] [
fhir:system [ fhir:v "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "dvic-37.60" ] ;
fhir:display [ fhir:v "Dengue vaccination is contraindicated" ]     ] [
fhir:system [ fhir:v "http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "dvcbccjircacn-100.70" ] ;
fhir:display [ fhir:v "Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note." ]     ] )
  ] . #