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 2025-11-07 |
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<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet IMMZD2DTBCGVS</b></p><a name="IMMZD2DTBCGVS"> </a><a name="hcIMMZD2DTBCGVS"> </a><p>This value set expansion contains 24 concepts.</p><table class="codes"><tr><td><b>System</b></td><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a name="IMMZD2DTBCGVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-No|20BCG|20primary|20series|20dose|20was|20administered-112"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-NoBCGprimaryseriesdosewasadministered-112">No BCG primary series dose was administered-112</a></td><td>No BCG primary series dose was administered</td></tr><tr><td><a name="IMMZD2DTBCGVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client's|20age|20is|20less|20than|20or|20equal|20to|2028|20days-40"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Client.39sageislessthanorequalto28days-40">Client's age is less than or equal to 28 days-40</a></td><td>Client's age is less than or equal to 28 days</td></tr><tr><td><a name="IMMZD2DTBCGVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client's|20HIV|20status|20is|20negative|20or|20unknown-29"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Client.39sHIVstatusisnegativeorunknown-29">Client's HIV status is negative or unknown-29</a></td><td>Client's HIV status is negative or unknown</td></tr><tr><td><a name="IMMZD2DTBCGVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-No|20live|20vaccine|20was|20administered-90"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Nolivevaccinewasadministered-90">No live vaccine was administered-90</a></td><td>No live vaccine was administered</td></tr><tr><td><a name="IMMZD2DTBCGVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client|20is|20due|20for|20BCG|20vaccination-44"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-ClientisdueforBCGvaccination-44">Client is due for BCG vaccination-44</a></td><td>Client is due for BCG vaccination</td></tr><tr><td><a name="IMMZD2DTBCGVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Live|20vaccine|20was|20administered|20in|20the|20last|20four|20weeks-92"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Livevaccinewasadministeredinthelastfourweeks-92">Live vaccine was administered in the last four weeks-92</a></td><td>Live vaccine was administered in the last four weeks</td></tr><tr><td><a name="IMMZD2DTBCGVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client|20is|20not|20due|20for|20BCG|20vaccination-48"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-ClientisnotdueforBCGvaccination-48">Client is not due for BCG vaccination-48</a></td><td>Client is not due for BCG vaccination</td></tr><tr><td><a name="IMMZD2DTBCGVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client's|20HIV|20status|20is|20positive-29"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Client.39sHIVstatusispositive-29">Client's HIV status is positive-29</a></td><td>Client's HIV status is positive</td></tr><tr><td><a name="IMMZD2DTBCGVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client|20is|20currently|20receiving|20antiretroviral|20therapy-25"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Clientiscurrentlyreceivingantiretroviraltherapy-25">Client is currently receiving antiretroviral therapy-25</a></td><td>Client is currently receiving antiretroviral therapy</td></tr><tr><td><a name="IMMZD2DTBCGVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client|20is|20immunologically|20stable-31"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Clientisimmunologicallystable-31">Client is immunologically stable-31</a></td><td>Client is immunologically stable</td></tr><tr><td><a name="IMMZD2DTBCGVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client|20is|20not|20immunologically|20stable-32"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Clientisnotimmunologicallystable-32">Client is not immunologically stable-32</a></td><td>Client is not immunologically stable</td></tr><tr><td><a name="IMMZD2DTBCGVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client|20is|20currently|20not|20receiving|20antiretroviral|20therapy-26"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Clientiscurrentlynotreceivingantiretroviraltherapy-26">Client is currently not receiving antiretroviral therapy-26</a></td><td>Client is currently not receiving antiretroviral therapy</td></tr><tr><td><a name="IMMZD2DTBCGVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client's|20age|20is|20between|2028|20days|20and|205|20years-50"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Client.39sageisbetween28daysand5years-50">Client's age is between 28 days and 5 years-50</a></td><td>Client's age is between 28 days and 5 years</td></tr><tr><td><a name="IMMZD2DTBCGVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client's|20TB|20infection|20test|20result|20is|20negative-39"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Client.39sTBinfectiontestresultisnegative-39">Client's TB infection test result is negative-39</a></td><td>Client's TB infection test result is negative</td></tr><tr><td><a name="IMMZD2DTBCGVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-No|20live|20vaccine|20was|20administered|20in|20the|20last|20four|20weeks-92"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Nolivevaccinewasadministeredinthelastfourweeks-92">No live vaccine was administered in the last four weeks-92</a></td><td>No live vaccine was administered in the last four weeks</td></tr><tr><td><a name="IMMZD2DTBCGVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client's|20TB|20infection|20test|20result|20is|20unknown|20(test|20not|20done|20or|20no|20result|20yet)-34"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Client.39sTBinfectiontestresultisunknown.40testnotdoneornoresultyet.41-34">Client's TB infection test result is unknown (test not done or no result yet)-34</a></td><td>Client's TB infection test result is unknown (test not done or no result yet)</td></tr><tr><td><a name="IMMZD2DTBCGVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Clinical|20judgement|20is|20required.|20Create|20clinical|20note.-66"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Clinicaljudgementisrequired.46Createclinicalnote.46-66">Clinical judgement is required. Create clinical note.-66</a></td><td>Clinical judgement is required. Create clinical note.</td></tr><tr><td><a name="IMMZD2DTBCGVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client's|20TB|20infection|20test|20result|20is|20positive-39"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Client.39sTBinfectiontestresultispositive-39">Client's TB infection test result is positive-39</a></td><td>Client's TB infection test result is positive</td></tr><tr><td><a name="IMMZD2DTBCGVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client|20is|20not|20clinically|20well-25"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Clientisnotclinicallywell-25">Client is not clinically well-25</a></td><td>Client is not clinically well</td></tr><tr><td><a name="IMMZD2DTBCGVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client|20is|20clinically|20well-24"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Clientisclinicallywell-24">Client is clinically well-24</a></td><td>Client is clinically well</td></tr><tr><td><a name="IMMZD2DTBCGVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Client's|20age|20is|20more|20than|205|20years-40"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Client.39sageismorethan5years-40">Client's age is more than 5 years-40</a></td><td>Client's age is more than 5 years</td></tr><tr><td><a name="IMMZD2DTBCGVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-Clinical|20judgement|20is|20required.|20Create|20clinical|20note.-67"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-Clinicaljudgementisrequired.46Createclinicalnote.46-67">Clinical judgement is required. Create clinical note.-67</a></td><td>Clinical judgement is required. Create clinical note.</td></tr><tr><td><a name="IMMZD2DTBCGVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-One|20BCG|20primary|20series|20dose|20was|20administered-112"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-OneBCGprimaryseriesdosewasadministered-112">One BCG primary series dose was administered-112</a></td><td>One BCG primary series dose was administered</td></tr><tr><td><a name="IMMZD2DTBCGVS-http://smart.who.int/immunizations/CodeSystem/IMMZDAK-BCG|20immunization|20schedule|20is|20complete-140"> </a><code>http://smart.who.int/immunizations/CodeSystem/IMMZDAK</code></td><td style="white-space:nowrap"> <a href="CodeSystem-IMMZDAK.html#IMMZDAK-BCGimmunizationscheduleiscomplete-140">BCG immunization schedule is complete-140</a></td><td>BCG immunization schedule is complete</td></tr></table></div>
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<name value="IMMZD2DTBCGVS"/>
<title value="IMMZD2DTBCG ValueSet for Decision Table"/>
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<date value="2025-11-07T22:20:12+00:00"/>
<publisher value="WHO"/>
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<description
value="ValueSet IMMZD2DTBCG for IMMZ.D2.DT.BCG.
Business rule: Determine if the client is due for a bacille Calmette–Guérin (BCG) vaccination according to the national immunization schedule
Trigger: IMMZ.D2 Determine required vaccination(s) if any
Table: IMMZ.D2.DT.BCG"/>
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<concept>
<code value="Client's age is less than or equal to 28 days-40"/>
<display value="Client's age is less than or equal to 28 days"/>
</concept>
<concept>
<code value="Client's HIV status is negative or unknown-29"/>
<display value="Client's HIV status is negative or unknown"/>
</concept>
<concept>
<code value="No live vaccine was administered-90"/>
<display value="No live vaccine was administered"/>
</concept>
<concept>
<code value="Client is due for BCG vaccination-44"/>
<display value="Client is due for BCG vaccination"/>
</concept>
<concept>
<code
value="Live vaccine was administered in the last four weeks-92"/>
<display
value="Live vaccine was administered in the last four weeks"/>
</concept>
<concept>
<code value="Client is not due for BCG vaccination-48"/>
<display value="Client is not due for BCG vaccination"/>
</concept>
<concept>
<code value="Client's HIV status is positive-29"/>
<display value="Client's HIV status is positive"/>
</concept>
<concept>
<code
value="Client is currently receiving antiretroviral therapy-25"/>
<display
value="Client is currently receiving antiretroviral therapy"/>
</concept>
<concept>
<code value="Client is immunologically stable-31"/>
<display value="Client is immunologically stable"/>
</concept>
<concept>
<code value="Client is not immunologically stable-32"/>
<display value="Client is not immunologically stable"/>
</concept>
<concept>
<code
value="Client is currently not receiving antiretroviral therapy-26"/>
<display
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</concept>
<concept>
<code value="Client's age is between 28 days and 5 years-50"/>
<display value="Client's age is between 28 days and 5 years"/>
</concept>
<concept>
<code value="Client's TB infection test result is negative-39"/>
<display value="Client's TB infection test result is negative"/>
</concept>
<concept>
<code
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<display
value="No live vaccine was administered in the last four weeks"/>
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<concept>
<code
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<display
value="Client's TB infection test result is unknown (test not done or no result yet)"/>
</concept>
<concept>
<code
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<display
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<concept>
<code value="Client's TB infection test result is positive-39"/>
<display value="Client's TB infection test result is positive"/>
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<concept>
<code value="Client is not clinically well-25"/>
<display value="Client is not clinically well"/>
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<concept>
<code value="Client is clinically well-24"/>
<display value="Client is clinically well"/>
</concept>
<concept>
<code value="Client's age is more than 5 years-40"/>
<display value="Client's age is more than 5 years"/>
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<concept>
<code
value="Clinical judgement is required. Create clinical note.-67"/>
<display
value="Clinical judgement is required. Create clinical note."/>
</concept>
<concept>
<code value="One BCG primary series dose was administered-112"/>
<display value="One BCG primary series dose was administered"/>
</concept>
<concept>
<code value="BCG immunization schedule is complete-140"/>
<display value="BCG immunization schedule is complete"/>
</concept>
</include>
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<timestamp value="2025-09-29T20:59:26.458Z"/>
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<code value="Client's age is less than or equal to 28 days-40"/>
<display value="Client's age is less than or equal to 28 days"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code value="Client's HIV status is negative or unknown-29"/>
<display value="Client's HIV status is negative or unknown"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code value="No live vaccine was administered-90"/>
<display value="No live vaccine was administered"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code value="Client is due for BCG vaccination-44"/>
<display value="Client is due for BCG vaccination"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code value="Live vaccine was administered in the last four weeks-92"/>
<display value="Live vaccine was administered in the last four weeks"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code value="Client is not due for BCG vaccination-48"/>
<display value="Client is not due for BCG vaccination"/>
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<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code value="Client's HIV status is positive-29"/>
<display value="Client's HIV status is positive"/>
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<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code value="Client is currently receiving antiretroviral therapy-25"/>
<display value="Client is currently receiving antiretroviral therapy"/>
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<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code value="Client is immunologically stable-31"/>
<display value="Client is immunologically stable"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code value="Client is not immunologically stable-32"/>
<display value="Client is not immunologically stable"/>
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<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code
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<display
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<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code value="Client's age is between 28 days and 5 years-50"/>
<display value="Client's age is between 28 days and 5 years"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code value="Client's TB infection test result is negative-39"/>
<display value="Client's TB infection test result is negative"/>
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<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code
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<display
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</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code
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<display
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</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code value="Clinical judgement is required. Create clinical note.-66"/>
<display value="Clinical judgement is required. Create clinical note."/>
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<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
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<display value="Client's TB infection test result is positive"/>
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<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code value="Client is not clinically well-25"/>
<display value="Client is not clinically well"/>
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<code value="Client is clinically well-24"/>
<display value="Client is clinically well"/>
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<display value="Client's age is more than 5 years"/>
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<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code value="Clinical judgement is required. Create clinical note.-67"/>
<display value="Clinical judgement is required. Create clinical note."/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code value="One BCG primary series dose was administered-112"/>
<display value="One BCG primary series dose was administered"/>
</contains>
<contains>
<system value="http://smart.who.int/immunizations/CodeSystem/IMMZDAK"/>
<code value="BCG immunization schedule is complete-140"/>
<display value="BCG immunization schedule is complete"/>
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