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.Dengue.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.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>
</text>
<url
value="http://smart.who.int/immunizations/ValueSet/IMMZ.D5.DT.Dengue.CI"/>
<version value="0.2.0"/>
<name value="IMMZ_D5_DT_Dengue_contraindications"/>
<title value="IMMZ.D5.DT.Dengue.CI ValueSet for Decision Table"/>
<status value="active"/>
<date value="2025-09-17T23:03:28+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.Dengue.CI for IMMZ.D5.DT.Dengue 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="tchhosar-51.63"/>
<display value="The client has history of severe allergic reactions"/>
</concept>
<concept>
<code value="tcicp-32.56"/>
<display value="The client is currently pregnant"/>
</concept>
<concept>
<code value="tcisi-40.64"/>
<display value="The client is severely immunocompromised"/>
</concept>
<concept>
<code value="tcii-31.55"/>
<display value="The client is immunocompromised"/>
</concept>
<concept>
<code value="tcicl-33.52"/>
<display value="The client is currently lactating"/>
</concept>
<concept>
<code value="tchhoar-48.70"/>
<display value="The client has history of anaphylactic reactions"/>
</concept>
<concept>
<code value="tchis-41.64"/>
<display value="The client has immunodeficiency syndromes"/>
</concept>
<concept>
<code value="tcisi-39.63"/>
<display value="The client is severely immunosuppressed"/>
</concept>
<concept>
<code value="tchshi-40.63"/>
<display value="The client has symptomatic HIV infection"/>
</concept>
</include>
<include>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs"/>
<concept>
<code value="dvic-37.60"/>
<display value="Dengue vaccination is contraindicated"/>
</concept>
<concept>
<code value="dvcbccjircacn-100.70"/>
<display
value="Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note."/>
</concept>
</include>
</compose>
<expansion>
<timestamp value="2025-06-25T16:39:07.092Z"/>
<contains>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"/>
<code value="tchhosar-51.63"/>
<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="tcicp-32.56"/>
<display value="The client is currently pregnant"/>
</contains>
<contains>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"/>
<code value="tcisi-40.64"/>
<display value="The client is severely immunocompromised"/>
</contains>
<contains>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"/>
<code value="tcii-31.55"/>
<display value="The client is immunocompromised"/>
</contains>
<contains>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"/>
<code value="tcicl-33.52"/>
<display value="The client is currently lactating"/>
</contains>
<contains>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"/>
<code value="tchhoar-48.70"/>
<display value="The client has history of anaphylactic reactions"/>
</contains>
<contains>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"/>
<code value="tchis-41.64"/>
<display value="The client has immunodeficiency syndromes"/>
</contains>
<contains>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"/>
<code value="tcisi-39.63"/>
<display value="The client is severely immunosuppressed"/>
</contains>
<contains>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"/>
<code value="tchshi-40.63"/>
<display value="The client has symptomatic HIV infection"/>
</contains>
<contains>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs"/>
<code value="dvic-37.60"/>
<display value="Dengue vaccination is contraindicated"/>
</contains>
<contains>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs"/>
<code value="dvcbccjircacn-100.70"/>
<display
value="Dengue vaccination could be contraindicated. Clinical judgement is required. Create a clinical note."/>
</contains>
</expansion>
</ValueSet>