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 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="IMMZ.D5.DT.Varicella.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.Varicella.CI</b></p><a name="IMMZ.D5.DT.Varicella.CI"> </a><a name="hcIMMZ.D5.DT.Varicella.CI"> </a><p>This value set expansion contains 9 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.Varicella.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tcicp-32.52"> </a> <a href="CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tcicp-32.4652">tcicp-32.52</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.Varicella.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tchid-32.60"> </a> <a href="CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tchid-32.4660">tchid-32.60</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>The client has immune deficiency</td><td>"Potential contraindications" = "Immunodeficiency syndromes"</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D5.DT.Varicella.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tciptgpitnm-56.76"> </a> <a href="CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tciptgpitnm-56.4676">tciptgpitnm-56.76</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>The client is planning to get pregnant in the next month</td><td>"Potential contraindications" = "Planning to get pregnant in the next month"</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D5.DT.Varicella.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tcii-31.51"> </a> <a href="CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tcii-31.4651">tcii-31.51</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.Varicella.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs-tcirohrmtmbi-81.72"> </a> <a href="CodeSystem-IMMZ.D5.DT.Inputs.html#IMMZ.D5.DT.Inputs-tcirohrmtmbi-81.4672">tcirohrmtmbi-81.72</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs</td><td>The client is receiving or has received medications that may be immunosuppressive</td><td>"Potential contraindications" = "Exposed to immunosuppressive treatment"</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D5.DT.Varicella.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs-vvic-40.56"> </a> <a href="CodeSystem-IMMZ.D5.DT.Outputs.html#IMMZ.D5.DT.Outputs-vvic-40.4656">vvic-40.56</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs</td><td>Varicella vaccination is contraindicated</td><td>"Immunization recommendation status" = "Contraindicated"</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D5.DT.Varicella.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs-cjirccn-52.66"> </a> <a href="CodeSystem-IMMZ.D5.DT.Outputs.html#IMMZ.D5.DT.Outputs-cjirccn-52.4666">cjirccn-52.66</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs</td><td>Clinical judgement is required. Create clinical note</td><td>"Immunization recommendation status" = "Further evaluation needed"</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D5.DT.Varicella.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs-vvcbccjirccn-100.66"> </a> <a href="CodeSystem-IMMZ.D5.DT.Outputs.html#IMMZ.D5.DT.Outputs-vvcbccjirccn-100.4666">vvcbccjirccn-100.66</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs</td><td>Varicella vaccination could be contraindicated. Clinical judgement is required. Create clinical note</td><td>"Immunization recommendation status" = "Further evaluation needed"</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D5.DT.Varicella.CI-http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs-cjirccn-52.67"> </a> <a href="CodeSystem-IMMZ.D5.DT.Outputs.html#IMMZ.D5.DT.Outputs-cjirccn-52.4667">cjirccn-52.67</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs</td><td>Clinical judgement is required. Create 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.Varicella.CI"/>
<version value="0.2.0"/>
<name value="IMMZ_D5_DT_Varicella_contraindications"/>
<title value="IMMZ.D5.DT.Varicella.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.Varicella.CI for IMMZ.D5.DT.Varicella 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="tcicp-32.52"/>
<display value="The client is currently pregnant"/>
</concept>
<concept>
<code value="tchid-32.60"/>
<display value="The client has immune deficiency"/>
</concept>
<concept>
<code value="tciptgpitnm-56.76"/>
<display
value="The client is planning to get pregnant in the next month"/>
</concept>
<concept>
<code value="tcii-31.51"/>
<display value="The client is immunocompromised"/>
</concept>
<concept>
<code value="tcirohrmtmbi-81.72"/>
<display
value="The client is receiving or has received medications that may be immunosuppressive"/>
</concept>
</include>
<include>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs"/>
<concept>
<code value="vvic-40.56"/>
<display value="Varicella vaccination is contraindicated"/>
</concept>
<concept>
<code value="cjirccn-52.66"/>
<display
value="Clinical judgement is required. Create clinical note"/>
</concept>
<concept>
<code value="vvcbccjirccn-100.66"/>
<display
value="Varicella vaccination could be contraindicated. Clinical judgement is required. Create clinical note"/>
</concept>
<concept>
<code value="cjirccn-52.67"/>
<display
value="Clinical judgement is required. Create 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="tcicp-32.52"/>
<display value="The client is currently pregnant"/>
</contains>
<contains>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"/>
<code value="tchid-32.60"/>
<display value="The client has immune deficiency"/>
</contains>
<contains>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"/>
<code value="tciptgpitnm-56.76"/>
<display
value="The client is planning to get pregnant in the next month"/>
</contains>
<contains>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"/>
<code value="tcii-31.51"/>
<display value="The client is immunocompromised"/>
</contains>
<contains>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Inputs"/>
<code value="tcirohrmtmbi-81.72"/>
<display
value="The client is receiving or has received medications that may be immunosuppressive"/>
</contains>
<contains>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs"/>
<code value="vvic-40.56"/>
<display value="Varicella vaccination is contraindicated"/>
</contains>
<contains>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs"/>
<code value="cjirccn-52.66"/>
<display value="Clinical judgement is required. Create clinical note"/>
</contains>
<contains>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs"/>
<code value="vvcbccjirccn-100.66"/>
<display
value="Varicella vaccination could be contraindicated. Clinical judgement is required. Create clinical note"/>
</contains>
<contains>
<system
value="http://smart.who.int/immunizations/CodeSystem/IMMZ.D5.DT.Outputs"/>
<code value="cjirccn-52.67"/>
<display value="Clinical judgement is required. Create clinical note"/>
</contains>
</expansion>
</ValueSet>